Bexar County Hospital District Board of Managers Meeting By Telephone University Hospital 4502 Medical Drive San Antonio, Texas 78229 Tuesday, 2/23/2021 6:00 - 8:00 PM CT

1. Call to Order and Record of Attendance Presented By: Jim Adams, Chair (:01)

2. Invocation - Norberto Casas, Jr., Our Lady of Guadalupe Parish Presented By: Jim Adams, Chair (:03)

3. Pledge of Allegiance Presented By: Jim Adams, Chair (:01)

4. Public Comment (:01)

5. Approval of Minutes of Previous Meeting(s): (:03) January 19, 2021 (Regular Meeting) January 26, 2021 (Regular Meeting) 1.19.21 Minutes - Page 3 1.26.21 Minutes - Page 13

6. Report from UT Health San Antonio Presented By: William Henrich, MD, President (:10)

7. New Business: Presented By: Jim Adams, Chair (:15) Consent Agenda A. Consideration and Appropriate Action Regarding Medical-Dental Staff membership and Privileges Presented By: Rajeev Suri, MD, President, Medical/Dental Staff 2.23.21 MD Staff Membership - Page 28 B. Consideration and Appropriate Action Regarding Medical-Dental Staff Recommendations for Professional Practice Evaluations and Delineation of Privileges Presented By: Rajeev Suri, MD, President, Medical/Dental Staff 2.23.21 MD Staff Delineation - Page 76 C. Consideration and Appropriate Action Regarding a Contract with Johnson Controls, Inc. for Replacement of Central Energy Plant Controls at University Hospital. Presented By: Don Ryden 2.23.21 Johnson Controls - Page 92 D. Consideration and Appropriate Action Regarding Participation in the Fifth Year of the Quality Incentive Payment Program (QIPP) for Skilled Nursing Facilities with Licenses Owned by University Health and Managed by Touchstone Communities Presented By: Ted Day/Bryan Alsip, MD 2.23.21 QIPP Year 5 Authorization - Page 95 E. Consideration and Appropriate Action Regarding a Contract with Carvajal Incorporated d/b/a/ Carvajal Pharmacy to Provide Pharmacy Services at the Detention Healthcare Setting Presented By: Stephanie Stiefer 2.23.21 Carvajal Pharmacy Services - Page 100

F. Consideration and Appropriate Action Regarding Purchasing Activies (See Attachment A) Presented By: Antonio Carrillo/Travis Smith 2.23.21 Purchasing Consent Memo - Page 103 2.23.21 Purchasing Activities - Page 105

8. Action Items: (:30) A. Consideration and Appropriate Action Regarding Selected Purchasing Items: (1) Consideration and Appropriate Action Regarding a Contract Amendment with Henock Construction, LLC for Interior Renovations at the Southeast Clinic Presented By: Don Ryden 2.23.21 SE Clinic - Henock Amendment - Page 120

B. Consideration and Appropriate Action Regarding the Financial Report for January 2021 Presented By: Reed Hurley 2.23.21 Financial Highlights - Page 123 2.23.21 Financial Presentation - Page 126 9. Information Only Items:

A. Report on the 87th Texas Legislature Presented By: Andrew Smith 2.23.21 Legislative Update - Larsson Op-ed Medicaid Attacment B - Page 132 2.23.21 Legislative Update - Budget Resolution and Reconciliation Attachment A - Page 134 2.23.21 Legislative Update - Page 137

B. University Health Foundation Update Presented By: Sara Alger 2.23.21 Foundation Update - Page 142

C. Supplier Diversity 4th Quarter/End of Year Presented By: Antonio Carrillo/Travis Smith 2.23.21 Supplier Diversity Report - Page 144

D. Report on Recent Recognitions and Upcoming Events Presented By: Leni Kirkman 2.23.21 Recognitions - Page 152

E. Update on the Women's and Children's Hospital and Associated Projects Presented By: Don Ryden 2.23.21 Womens and Childrens Update - Page 154

10. Adjournment Presented By: Jim Adams, Chair

The Board of Managers may recess during the open meeting in order to hold a closed meeting. Alternatively, a closed meeting may be held before the open meeting or after its adjournment.

Closed Meeting: A closed meeting will be held pursuant to TEX. GOV’T CODE, Section 551.085 to receive information regarding pricing, market data and/or financial and planning information relating to the arrangement or provision of proposed new services and/or product lines.

Closed Meeting: A closed meeting will be held pursuant to TEX. GOV’T CODE, Section 551.085 to receive information regarding pricing or financial planning information relating to a bid or negotiation for the arrangement or provision of services or product lines to another person if disclosure of the information would give advantage to competitors of the hospital district. University ¥ Health

BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS

By Telephone

Tuesday, January 19, 2021 6:00 p.m. 4502 Medical Drive San Antonio, Texas 78229

MINUTES

BOARD MEMBERS PRESENT:

James R. Adams, Chair Ira Smith, Vice Chair Margaret Kelley, M.D. Roberto L. Jimenez, M.D., Immediate Past Chair Anita L. Fernandez L.P. Buddy Morris Jimmy Hasslocher

OTHERS PRESENT:

George B. Hernández, Jr., President/Chief Executive Officer, University Health System Bryan J. Alsip, MD, Executive Vice President/Chief Medical Officer, University Health System Edward Banos, Executive Vice President/Chief Operating Officer, University Health System Rob Hromas, MD, Dean, Long School of Medicine, UT Health San Antonio Reed Hurley, Executive Vice President/Chief Financial Officer, University Health System Serina Rivela, Vice President/General Counsel, Legal Services, University Health System Don Ryden, Vice President/Project, Design & Construction, University Health System Laura Garcia, San Antonio Express-News And other attendees.

CALL TO ORDER:

Mr. Adams called the meeting to order at 6:02 pm, and made the following remarks: In light of the recent spike in COVID-19 cases and as a precautionary measure to mitigate the spread of COVID-19 and allow the Board, the staff and the public to participate in this meeting in a safe manner, this meeting will be conducted both in person and by telephone as authorized by the Governor’s Emergency COVID-19 Executive Order. He then yielded the floor to the Recording Secretary for roll call and to confirm a quorum. All Board members indicated “present.” Voting today will be conducted by individual roll call to clearly identify each Board member by name and vote. Board of Managers Meeting Tuesday, January 19, 2021 Page 2 of 10

INVOCATION AND PLEDGE OF ALLEGIANCE

In Pastor Tom Robison’s absence, Mr. Ira Smith provided the invocation, and Mr. Adams led the pledge of allegiance.

PUBLIC COMMENT: None.

At this time, Mr. Adams asked Dr. Rob Hromas to provide an update on behalf of UT Health San Antonio. Vaccination efforts are proceeding in partnership with University Health and the Wonderland site. Dr. Bob Leverence is leading that on behalf of UT Health. Elective surgeries have temporarily been halted, which he described as painful because it causes patient and financial distress but is necessary due to the recent COVID-19 surge in the city. UT Health has started the recruiting process of several basic science chairs: Pharmacology, Microbiology, and Urology was recently filled. A clinical trial involving COVID-19 patients hospitalized at University Hospital found that a combination of the drugs baricitinib and remdesivir reduced time to recovery, according to results published in the New England Journal of Medicine. There are six co-authors of the publication because of University Health’s sizable patient enrollment in the trial. The principal investigator is Thomas Patterson, MD, professor and chief of infectious diseases in the Joe R. and Teresa Lozano Long School of Medicine at UT Health San Antonio.

APPROVAL OF MINUTES OF PREVIOUS MEETING(S): NOVEMBER 10, 2020 (SPECIAL MEETING); NOVEMBER 17, 2020 (REGULAR MEETING); AND DECEMBER 15, 2020 (SPECIAL MEETING)

SUMMARY: The minutes of the meetings of November 10, 2020; November 17, 2020; and December 15, 2020 were submitted for Board approval. RECOMMENDATION: Staff recommended approval of the minutes as submitted. ACTION: There being NO OBJECTION, the minutes stand APPROVED as submitted. EVALUATION: None. FOLLOW-UP: None

NEW BUSINESS:

CONSENT AGENDA — JIM ADAMS, CHAIR

CONSIDERATION AND APPROPRIATE ACTION REGARDING A CONTRACT BETWEEN COMMUNITY FIRST HEALTH PLANS AND CLARITY SOFTWARE SOLUTIONS, INC. FOR MEMBER FULFILLMENT SERVICES — THERESA SCEPANSKI

SUMMARY: The contract for member material fulfillment services was competitively bid on September 9, 2020. Two (2) vendor responses were received including bids from Dialog Direct (HealthLogix) and Clarity Software Solutions, Inc. The bids were compared utilizing a decision matrix and reviewed for responsiveness to the request for proposal (RFP) specifications. The bids were then equally weighed based on administrative and financial criteria. Clarity Software Solutions, Inc. provides the best value for the following reasons: (1) certified security measures for member protected health information (PHI); (2) meets all production capabilities and needs; (3) offers extensive quality assurance measures and extensive data reporting; (4) meets technical functionality and requirements; and (5) offers competitive fees. Based on current utilization, the estimated value of the contract with Clarity Software Board of Managers Meeting Tuesday, January 19, 2021 Page 3 of 10

Solutions, Inc. is $445,000 annually (or, $1,335,000 over a three-year period). Services and annual fees are broken down as follows: Estimated postage - $115,000/year for three years; and estimated service fees – $330,000/year for three years. There is a five (5) percent decrease from the previous contract period for base fulfillment services. This contract is for a three-year period beginning January 1, 2021. The workforce composition data for Clarity Software Solutions, Inc. was provided for the Board’s review. Community First Board of Directors recommends Board of Managers’ approval of a contract with Clarity Software Solutions, Inc., for Member Fulfillment Services for a total estimated amount of $1,335,000 over a three-year period.

CONSIDERATION AND APPROPRIATE ACTION REGARDING A CONTRACT BETWEEN COMMUNITY FIRST HEALTH PLANS AND SPH ANALYTICS FOR MEMBER AND PROVIDER SURVEY SERVICES — THERESA SCEPANSKI

SUMMARY: Community First completed an Interim National Committee on Quality Assurance Accreditation (NCQA) survey in May 2014 and attained full NCQA Accreditation in October 2015. The proposed contract for member and provider survey services was released for competitive bid on October 27, 2020. A total of nine (9) survey vendors all certified by the National Committee on Quality Assurance (NCQA) were notified of the bid opportunity and one vendor responded with a proposal. The bid was evaluated for administrative and financial criteria. SPH Analytics provided the best value for the following reasons: (1) well-designed survey process and timeline which meets NCQA requirements; (2) recent merger with the previously contracted vendor, DSS Research, retains the existing experienced survey team with a 20-year partnership history with Community First; (3) vendor staff are familiar with Community First, the provider network and the member community; and (4) value-added benefit of providing exclusive reports for the Texas Association of Community Health Plans consortium for regional benchmarking. As an NCQA-accreditation requirement, survey vendors must use the NCQA approved survey instrument to assess the member experience. The tool produces measures as question summary rates, composites (composed of multiple questions) and overall ratings. NCQA scores 4 of the ratings questions and 5 of the composite questions for Health Plan Accreditation. NCQA publicly reports Consumer Assessment of Healthcare Providers and Systems (CAHPS®) results in its annual Health Plan Ratings, a national report card of health plan quality. The proposed contract with SPH Analytics is for a three-year period. The total estimated cost is $467,960 over the three-year contract period. Ms. Scepanski outlined the services to be performed f and their respective costs for Years 1, 2, and 3 of the contract. Survey fees, which remained unchanged for the previous three years, increased 14 percent from the previous contract, for base services. This contract is for a three-year term beginning January 1, 2021. The workforce composition data for SPH Analytics was provided for the Board’s review. Community First Board of Directors recommends Board of Managers approval of a contract with SPH Analytics for Member and Provider Survey Services for a total estimated amount of $467,960 over a three-year period. CONSENT AGENDA Board of Managers Meeting Tuesday, January 19, 2021 Page 4 of 10

RECOMMENDATION: Community First Board of Directors recommends approval of the items on the consent agenda. CONSENT AGENDA ACTION: A MOTION to approve staff’s recommendation was made by Mr. Hasslocher, SECONDED by Ms. Morris, and PASSED UNANIMOUSLY. CONSENT AGENDA EVALUATION: None.

CONSENT AGENDA FOLLOW-UP: None.

ACTION ITEMS:

CONSIDERATION AND APPROPRIATE ACTION REGARDING SELECTED ITEMS:

CONSIDERATION AND APPROPRIATE ACTION REGARDING A CONTRACT WITH HENOCK CONSTRUCTION FOR RENOVATIONS AND REPAIRS AT THE EDGEWOOD CLINIC — DON RYDEN

SUMMARY: The Edgewood Clinic (formerly Old Hwy 90 Clinic) has recently been recommissioned for Edgewood ISD school-based clinic and adult primary care. An assessment was made and staff has determined it is necessary to replace the aged countertops and millwork with the University Health standard solid surface tops and cabinets to include integral sinks and to remove the old vinyl wall covering and upgrade wall finishes. All restrooms (2 public, 1 patient and 1 staff) will be designed to meet current TAS accessibility standards and will be upgraded with new fixtures and finishes. In addition, existing light fixtures throughout the clinic will be replaced with energy efficient LED fixtures. Procurement Services solicited formal bids, RFCSP-220-09- 052-CNST with twelve (12) Contractors responding. The spread, highest to lowest bid, was $219,198. The Project schedule spread, highest to lowest, was 178 calendar days. The proposals were evaluated based on the criteria provided to the firms in the RFCSP. Of the firms that responded, Henock Construction, LLC, was selected based on their competitive pricing, proposed schedule, healthcare experience and safety record. The Contractor will provide services that will optimize the use of available funds while providing the highest quality construction within the established project schedule and budget. This purchase in the amount of $433,187 will be funded from 2021 operational funds. The workforce composition for Henock Construction was provided for the Board’s review. RECOMMENDATION: Staff recommends Board of Managers’ approval of the selection of Henock Construction, LLC as Contractor for the Renovations, Repairs and Upgrades at the Edgewood Clinic in the amount of $433,187. ACTION: A MOTION to approve staff’s recommendation was made by Dr. Jimenez, SECONDED by Mr. Smith, and PASSED UNANIMOUSLY. EVALUATION: Children will be seen at this location as it will also serve as a school- based clinic for the Edgewood ISD and that neighborhood. Adults may receive primary care at the same location, so the waiting areas will be family-friendly, especially for children and their parents. Layout, Board of Managers Meeting Tuesday, January 19, 2021 Page 5 of 10

aesthetics and flow of traffic were taken into consideration. Healthcare will be provided by pediatric and family medicine physicians. FOLLOW-UP: None.

CONSIDERATION AND APPROPRIATE ACTION REGARDING A SUPPORT AGREEMENT WITH HAVEN FOR HOPE OF BEXAR COUNTY FOR THE JAIL OUTREACH PROGRAM AND CONTINUITY OF CARE TRANSITION PROGRAM — SALLY TAYLOR, M.D.

SUMMARY: Since 2015 University Health has provided annual funding support for Haven for Hope of Bexar County for a Jail Outreach Program and in 2020 a Continuity of Care Transition Program was added. The program support agreement provides funding for peer support and intake specialists, along with staff who address financial instability, employment readiness, and other income opportunities all of which tend to correspond to ongoing housing stability. During 2020, the COVID- 19 pandemic presented unique challenges. Haven for Hope leadership responded with a necessary pause in new intakes from the end of March 2020 until May 2020. They obtained a hotel lease, and in close collaboration with the City of San Antonio Metropolitan Health District, implemented sequentially phased processes for screening, quarantine and isolation, testing, and ongoing staff education during which time they gradually increased capacity while ensuring safety. Additional cleaning and technical requirements for videoconferencing and telemedicine led to increased costs. Additional staff support was needed for the hotel, which served as a low barrier access point for individuals experiencing homelessness who might normally stay in the Haven courtyard, a need that will continue during 2021. University Health funding in 2020 was allocated as follows:

 29 percent supported necessary partner services (includes Haven staff providing case management, peer support and navigators, among others);  18 percent community staff (e.g., volunteer coordinator, project manager, media manager, etc.);  19 percent information infrastructure; and  35 percent physical infrastructure.

This is a request on behalf of Haven for Hope in the amount of $1,483,333 for 2021. Bexar County will continue its annual contribution of $483,333. Return on investment includes improved access to behavioral health treatment services on the Haven for Hope campus, moving health care provided from inside the jail to community care, along with a potential reduction in preventable emergency department visits and inpatient admissions. The amount requested is included in University Health’s 2021 operating budget. The workforce composition data for Haven or Hope was provided for the Board’s review, as were metrics and outcomes for 2019- 2020, as well as performance goals for 2021. RECOMMENDATION: Staff recommends the Board of Managers approve a 12-month agreement with Haven for Hope of Bexar County beginning January 1, 2021. Agreement shall automatically renew for up to two successive one- Board of Managers Meeting Tuesday, January 19, 2021 Page 6 of 10

year terms, in the amount of $1,483,333.00 annually, or $4,449,999.00 for the entire three-year term. ACTION: A MOTION to approve staff’s recommendation was made by Mr. Hasslocher, SECONDED by Mr. Morris, and PASSED UNANIMOUSLY. EVALUATION: Dr. Jimenez expressed full support for this concept and for the allocation of funds. He is concerned that research and professional experience clearly shows that the only way to keep newly released people from going back to prison, especially those with substance abuse issues over the long haul, is meaningful work. Professionals can educate these people regarding health issues, but if they do not have meaningful employment, they will go back to prison; they need something they can be proud of doing. Unfortunately, most jobs available to those coming out of prison, even those who do have an education, are often beneath their dignity in many ways. When programs like this are created, this particular issue is rarely taken into consideration, and it is an important element that will keep clients from going back to prison. Ms. Fernandez appreciates the analysis and chart summarizing program outcomes for the three quarters of 2020 which were compared to those of 2019. To Dr. Jimenez’s point, one of the outcomes of this program is the percentage of individuals returning to Haven for Hope Campus within six months after placement in permanent housing. Is there is an existing program that is longer than six-months for this outcome? During their initial 6-month period, clients are healing or dealing with health issues, and reflecting upon their moment of crisis that got them to this point. Are there mechanisms in place, and if so, what do those look like for a longer term perspective? If not, jobs and employment something University Health ought to look at? It is possible to adjust the 6-month outcome and look at it for longer than six months, perhaps over the course of one year, if the Board so desires. The main aspect of “success” for Dr. Taylor is the number of individuals that are moved to permanent supportive housing, and does that support follow them off the campus? She is aware that Haven for Hope provides financial sustainability services including vocational, personal finance training, how to write a resume, how to do a job interview, data which is captured as part of the outcomes. However, she agrees that success ought to be measured beyond that first acute phase. Dr. Taylor will be happy to raise the issue with the staff and Mr. Kenny Wilson of Haven for Hope on behalf of the Board of Managers. FOLLOW-UP: Dr. Taylor will bring up the meaningful employment issue for clients of Haven for Hope on behalf of the Board of managers.

CONSIDERATION AND APPROPRIATE ACTION REGARDING A SUPPORT AGREEMENT WITH UT HEALTH SAN ANTONIO FOR THE TRANSITIONAL CARE CLINIC — SALLY TAYLOR, M.D.

SUMMARY: The Transitional Care Clinic (TCC) was initially funded through the 1115 Waiver program but when no longer eligible for this support, in 2018 University Health began contracting directly for this service. In 2019 the agreement was renewed for a 16-month term to align with University Health’s annual budget cycle, and the annual amount was increased in January 2020 by $59,448 to $404,448. The increased Board of Managers Meeting Tuesday, January 19, 2021 Page 7 of 10

funding covered an additional 0.8 FTE of therapist time and minor cost of living wage increases for other staff covered by this contract. This is a request to renew this agreement for a 12-month term beginning January 1, 2021, with automatic renewal of two additional successive, one-year terms, at the same annual rate of $404,448. The purpose of this contract is to provide continued access for University Health patients to receive behavioral health outpatient treatment services after hospital discharge. The contract will continue to support one FTE caseworker, three FTE therapists, one FTE licensed vocational nurse, and 0.6 FTE clinic director oversight. The TCC improves access and provides timely post- discharge follow up for patients released from the University Hospital’s Emergency Department, Inpatient Psychiatry Unit or Inpatient Medicine/Surgery services. Patients are referred to the TCC through a computerized appointment system coordinated by University Hospital Behavioral Health or Emergency Department Care Coordination/Social Work staff. The contract includes defined benchmarks including maintaining capacity for at least 100 referrals per month, appointments within seven days post-discharge for at least 90 percent of patients referred, and an initial show rate of at least 50 percent. In 2020, with the COVID-19 pandemic challenges, patient show rates were initially low; however, TCC staff adjusted to virtual telehealth visits for psychotherapy and psychiatric appointments, which also allowed for social distancing within the clinic for those patients seen in person and for staff. The payor mix of those referred to TCC includes 72 percent unfunded; 3 percent Care Link; 14 percent government sponsored health care coverage; and 11 percent other, including managed care payors. The workforce composition data for UT Health was provided for the Board’s review. The cost of this contract is included in University Health’s 2021 operating budget. RECOMMENDATION: Staff recommends Board of Managers’ approval to execute a 12-month agreement with UT Health San Antonio for the Department of Psychiatry Transitional Care Clinic Support Services, beginning January 1, 2021, which shall automatically renew for up to two, successive, one-year terms at the same amount for each year, in the amount of $404,448 annually, or a total of $1,213,344 for the 3-year term. ACTION: A MOTION to approve staff’s recommendation was made by Dr. Jimenez, SECONDED by Mr. Smith and PASSED UNANIMOUSLY. EVALUATION: Dr. Taylor has heard from patients that they like the fact they can access the clinic when they need to do so. This arrangement is a Living Room Model, which she would like to see replicated more often in the clinic setting. Patients are free to come in and visit with a Licensed Professional Counselor intern, they can review safety plans, and do some crisis planning. There is also a psychiatrist onsite in case a patient needs to have their medication tweaked. Mr. Adams noted the clinic show up rate in 2020 was at 54 percent for initial appointments. How does the staff plan to improve this outcome? The initial plan was to make some home visits, but with COVID that became more difficult to do. Clinic staff has added additional therapy timeslots and extended quite a bit of effort to engage patients. Some are given follow up appointments when they leave the hospital, which sometimes they have no intention of keeping. Another group of patients will show up later, perhaps during that second admission, when it becomes clear to them that they need Board of Managers Meeting Tuesday, January 19, 2021 Page 8 of 10

outpatient treatment; however, some of these patients are very difficult to engage. Dr. Jimenez agreed and stated that transportation is often a big problem. He has become aware through his patients, that the City of San Antonio provides transportation for individuals who are disabled and/or have Medicaid. Patients get dropped off and picked up timely for medical appointments. In fact, Medicare, Medicaid, and third party insurances often allow billing for transportation services. The staff tries very hard to get these patients in for follow-up care when they are newly released from the hospital. If the staff becomes aware of transportation issues, they are proactive in assisting. Dr. Taylor will take the helpful transportation information provided by Dr. Jimenez and will relay to the Care Coordination Department. She also noted that transportation is a line item in the UT Health Department of Psychiatry budget; however, she is not aware of the amount. The TCC is located on Luis Pasteur Drive. Mr. Adams thanked Dr. Taylor for her thoughts and observations regarding mental health, a very sensitive topic of discussion. FOLLOW UP: None.

CONSIDERATION AND APPROPRIATE ACTION REGARDING A CONTRACT WITH LUBY’S FUDDRUCKERS RESTAURANTS, LLC DBA LUBY’S CULINARY SERVICES FOR MANAGEMENT OF SKY BISTRO, ROBERT B. GREEN CAFÉ, TEXAS DIABETES INSTITUTE CAFETERIA, AND BUSINESS CENTER CAFÉ — JIM WILLIS

SUMMARY: On October 23, 2020, University Health posted RFP 220-10-055-SVC to solicit qualified respondents for a new food management services contract for University Hospital (Sky Bistro), Robert B. Green Café, and Texas Diabetes Institute Cafeteria, plus the new Business Center Café. An evaluation committee comprised of leaders from both Hospital and Ambulatory operations was formed to evaluate RFP submittals. Mr. Willis reviewed evaluation and scoring criteria for this award, which he detailed in his written report. On November 11, 2020, two responses were received by Procurement Services from ABM Healthcare in St. Clair Shores, MI; and Luby’s Culinary Services out of Houston, TX. Both submittals were reviewed by the evaluation committee and both vendors were invited to provide full presentations on December, 15, 2020. After careful consideration and review, the evaluation committee recommends award of the management agreement to Luby’s Culinary Services. Luby’s received a final score of 86.1 while ABM Healthcare received a final score of 81.25. Luby’s provides the best overall value with key strengths addressing continuous quality improvement, customer complaints, and presenting customers with tasty and popular menu options. Projected gross revenues in 2021 (a non-Covid year) would increase from $3.9M in 2020 to $5.8M in 2021. In 2020, Luby’s was not able to implement a full menu and will add service to the new Business Center Café. Estimated net income for the Health System in 2021 will be $100,000 from the four combined retail operations. Net income is impacted by University Health offering a 25 percent discount on food items as benefit of employment. The cost of that benefit is approximately $400,000 per year and as visitors increase, staff expects the profitability to increase. The value of a one year contract with Luby’s is $385,621. Associated costs included in this amount are $290,200 in management fees (5 percent of estimated gross sales) plus $95,421 in salary/benefits for one FTE food Board of Managers Meeting Tuesday, January 19, 2021 Page 9 of 10

service director. In comparison to the previous contract with Luby’s Culinary Services, this represents a 50 percent reduction in management fees. The workforce composition data for Luby’s was provided for the Board’s review. RECOMMENDATION: Staff recommends Board of Managers’ approval of a non-assignable food service management contract for one year not to exceed $385,621 with Luby’s Culinary Services to include the option for four one-year renewals. ACTION: A MOTION to approve staff’s recommendation was made by Mr. Hasslocher, SECONDED by Mr. Smith, and PASSED UNANIMOUSLY. EVALUATION: Mr. Hasslocher commended the staff for the good work in negotiating this agreement; Luby’s is a very good company and it’s the right thing to do for the staff and the patients of University Health. Mr. Adams thanked Mr. Willis for the succinct and helpful presentation. FOLLOW-UP: None.

At this time, Mr. Adams asked Mr. George Hernandez to provide an update regarding the current COVID-19 situation and local developments. Several of the University Health staff met earlier in December, and on New Year’s Eve, identified Wonderland of the Americas as a potential mass vaccination hub. The staff was ready to roll out the Moderna vaccine on January 4, and administered 9,762 doses that week. For the week of January 11, University Health had two roles - the direct role involved the administration of another 9,000+ doses of the Pfizer vaccine at Wonderland; but the staff also collaborated with the City of San Antonio transferring 9,000 doses of its Pfizer vaccine to be administered to the community at the Alamodome. That same week, the City of San Antonio transferred their own 9,000+ doses of Moderna vaccine to WellMed Clinic for administration at two of their locations – Southwest Military Drive, and Culebra Road. It was decided to send the Moderna vaccine to WellMed because it is much easier to administer and does not require the extreme cold storage that Pfizer does. The week of January 18, University Health continues to have a primary role at Wonderland of the Americas, administering approximately 7,800 doses. University Health received a little over 10,000 Pfizer doses, but shared 2, 925 of those with the City of San Antonio so that they could continue to operate at the Alamodome. UT Health San Antonio transferred their entire weekly allotment of 5, 550 doses to the Alamodome, for a total of 8,775 doses from both UT Health and University Health. Mr. Hernandez thanked Drs. Hromas and Bob Leverence for their willingness to collaborate with the City of San Antonio/Metropolitan Health District and WellMed Clinic. Mr. Hernandez will know next week’s allocation by tomorrow afternoon; however, staff is predicting University Health will receive over 10,000 doses of Pfizer. Mr. Hernandez thanked Dr. Alsip, Mr. Banos, and Mr. Phillips for their steadfast support on hub operations. Other key individuals at Wonderland are Ms. Lisa Sanchez, Ms. Kim King, Dr. Elliot Mandell and several pharmacists, as well Aowala Banigo who has provided all of registration staff, and Ms. Leni Kirkman with the communications team. In addition, Wonderland of the America’s has agreed to provide a secondary location for University Health because beginning February 1, there will be two groups coming back for their second dose of vaccine; Pfizer is due 21 days after the first dose, while Moderna is due 28 days after the first dose. Mr. Hernandez pledged to continue to work with other entities to maximize vaccination for the San Antonio community. The vaccine is in short supply, until it is in greater supply allocations of vaccine will be made on a weekly basis. University Health would like to open up the Epic appointment template for at least one month with a proviso on the website that they need to check the website again to ensure the vaccine has been received. The total time at Wonderland for vaccination is running somewhere between 20 to 25 minutes. Mr. Smith asked Mr. Hernandez to let staff know what a wonderful job the Board of Managers feels they are doing. It is evident by the smooth operation at Wonderland of the Americas that the staff took time to plan properly. Dr. Jimenez asked if University Health was involved in correcting misinformation about the vaccine, in terms of marketing and publicity. It is a big problem because people feel they do not know enough about the vaccine. Ms. Board of Managers Meeting Tuesday, January 19, 2021 Page 10 of 10

Kirkman and the communications team are getting the word out on social media and via public service announcements; the vaccine is safe to administer. Dr. Kelley discussed the unequitable distribution of the vaccine, and also, she does not understand the vaccine allotments to UT Health. Dr. Hromas informed the Board that they have vaccinated all of their Tier 1B staff, or patient facing staff, which comprises 80 percent of their workforce. Like University Health, UT Health is also designated by the state as a vaccine hub and are slated to receive 5,900 vaccines per week. Using Epic, UT Health created an algorithm which identified 100,000 priority patients (out of 600,000), in addition to the staff. Future allotments will go to the sickest and most immune-compromised patients and they will work backwards from there. University Health has used multiple strategies with its allotments being administered to staff and the general public, not necessarily its patients. University Health also performed a similar analysis and it was decided to vaccinate as many Care Link patients as possible. This population received telephone calls last week since many of these members do not have access to the internet; the staff wanted to address that issue directly and this process has worked out very well. A total of 5,500 Care Link members have been scheduled to receive vaccination at Wonderland. University Health Dialysis and transplant patients are another priority group and will be scheduled this Friday, January 22. Mr. Hernandez reported that University Health is generally using a public approach, but staff is also targeting those hard-hit zip code areas, and one way to do that is through the Care Link population. Dr. Kelley informed the Board that she had previously discussed with Mr. Hernandez that for those citizens who are not patients, there is a sense of panic on how to get access to the vaccine. She is trying to get a feel for how the vaccine is flowing for those established patients and also, the citizens who are not patients. The city has estimated that there are 1 million Tier 1B individuals in Bexar County. Dr. Kelley congratulated the entire team for the professional and well-organized vaccine distribution process; she hopes the equitable distribution continues to be a priority. Corporate communications will continue to get the word out via social media that the vaccine is safe.

ADJOURNMENT:

There being no further business, Mr. Adams adjourned the meeting at 7:10 m

______James R. Adams Margaret A. Kelley, MD. Chair, Board of Managers Secretary, Board of Managers

______Sandra D. Garcia, Recording Secretary University ¥ Health

BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS

By Telephone

Tuesday, January 26, 2021 6:00 p.m. 4502 Medical Drive San Antonio, Texas 78229

MINUTES

BOARD MEMBERS PRESENT:

James R. Adams, Chair Ira Smith, Vice Chair Margaret Kelley, M.D. Roberto L. Jimenez, M.D., Immediate Past Chair Anita L. Fernandez L.P. Buddy Morris Jimmy Hasslocher

OTHERS PRESENT:

George B. Hernández, Jr., President/Chief Executive Officer, University Health System Bryan J. Alsip, MD, Executive Vice President/Chief Medical Officer, University Health System Edward Banos, Executive Vice President/Chief Operating Officer, University Health System Andrea Casas, Interim Chief Human Resources Officer, University Health System William Henrich, MD, President, UT Health San Antonio Rob Hromas, MD, Dean, Long School of Medicine, UT Health San Antonio Reed Hurley, Executive Vice President/Chief Financial Officer, University Health System Serina Rivela, Vice President/General Counsel, Legal Services, University Health System Carlos Rosende, MD, Executive Dean for Clinical Affairs, UT Health San Antonio Rajeev Suri, MD, Professor/Department of Radiology; and Vice President/Medical-Dental Staff, University Health System Michael Roussos, Administrator, University Hospital Don Ryden, Vice President/Project, Design & Construction, University Health System Sally Taylor, MD, Senior Vice President/Chief, Behavioral Medicine, University Health System Jim Willis, Associate Administrator, University Hospital Laura Garcia, San Antonio Express-News And other attendees.

CALL TO ORDER:

Mr. Adams called the meeting to order at 6:02 pm, and provided the following statement: In light of the recent spike in Covid-19 cases and as a precautionary measure to mitigate the spread of COVID-19 and allow the Board, our staff and the public to participate in this meeting in a safe manner, this meeting will Board of Managers Meeting Tuesday, January 26, 2021 Page 2 of 15 be conducted both in person and by telephone. He then yielded the floor to the Recording Secretary for roll call and to confirm a quorum. All Board members indicated “present.” Voting today will be conducted by individual roll call to clearly identify each Board member by name and vote.

INVOCATION AND PLEDGE OF ALLEGIANCE

Mr. Adams introduced Mr. Kenneth Malone, St. Matthew’s Catholic Church for the invocation, and he led the pledge of allegiance.

PUBLIC COMMENT: None.

SPECIAL RECOGNITION - QUARTERLY EMPLOYEE RECOGNITION AWARDS - (GEORGE B. HERNÁNDEZ, JR./BOARD MEMBERS)

Professional: Sarita Bunnell (Nursing) Care Coordinator, Nursing Administration

Professional: Bethany Bradshaw (Non-Nursing) Child Life Specialist, Nursing Administration

Management: Sherrie Matthews Director, Internal Communications, Corporate Communications

Technical: Rita Sosa Coordinator, Information Systems, Communication Services

Clerical Angela Carter Sr. Administrative Assistant, UMA, EMC

Service: Henry Carrera Controls Technician, Facilities Management

Volunteer: Genetrix Alvarez Volunteer, Volunteer Services

Provider: Diana Garza, NP Nurse Practitioner, Employee Health Services

Team: Disaster Response Team Valerie Perez, Noah Knox

All of this year’s quarterly recipients will be special honored guests at the Annual Employee Recognition Awards Ceremony. Employees of the Quarter receive a plaque, embossed pen and an opportunity to select one of numerous awards valued at $100 on the Employee Recognition website. Ms. Andrea Casas announced the annual employee recognition banquet will be held virtually on February 25, 2021.

REPORT FROM UT HEALTH SAN ANTONIO — WILLIAM HENRICH, M.D., PRESIDENT

SUMMARY: Dr. Henrich spoke to the coordinated efforts in distribution of the COVID-19 vaccine within the city; he is especially proud of the collaboration with University Health. Both organizations are “hubs” in terms of vaccination. This effort has also been coordinated with the Board of Managers Meeting Tuesday, January 26, 2021 Page 3 of 15

Metropolitan Health District and WellMed to do the best job possible to vaccinate the Bexar County community. The major problem across the county is the demand which exceeds supply. San Antonio has done a very good job with the vaccine that has been received so far. A collateral benefit of COVID-19 pandemic is that there has been a tremendous uptick and interest in medical and health professions. Applications to the Schools of Medicine, Dentistry, Nursing, and Allied Health Professions have increased by 20 percent. One of the motivators is apparently the desire of these applicants to serve humanity and therefore, have chosen the health profession. He touched upon are the elective surgeries that have been paused at University Hospital due to a high census of COVID- 19 patients; however, he is confident that in a couple of weeks, University Hospital will reach a census level that will allow restarting elective surgeries until conditions improve. Dr. Hromas discussed the Texas Legislature, which is now in session. Preliminary information indicate that the School of Medicine/UT Health we will lose some funding from the state and he is keeping a close eye on that. A unified approach would be very important, and he expressed appreciation for the partnership as both organizations approach the state with their joint interests in health care, research, and education. Dr. Jimenez was pleased to learn about the increase in applications for admission and asked whether recruiters were keeping an eye on minority applicants in particular and presenting the qualifying programs and pushing the whole issue of recruiting minorities. The changing demographics and nature of the population all over the country is becoming increasingly more diverse, especially in certain states like California and Texas, where there will be dramatic changes in the minority composition within the next 20 years. There will be a need for more minority professionals in healthcare; he urged Drs. Henrich and Hromas to keep this in mind as a major factor when reviewing applications for admission. Dr. Henrich emphasized that diversity is important for UT Health for many reasons but the reasons Dr. Jimenez pointed out are precisely on his mind. UT Health has appointed several individuals who are proactive in recruiting underrepresented minorities to matriculate with UT Health. In that regard, UT Health is already known as a minority-serving institution. The average for medical schools of minority enrollment across the county is at an average of 16 to 17 percent. The Long School of Medicine has a minority enrollment rate of 27 to 28 percent; and the School of Nursing is approaching 45 to 50 percent. The School of Allied Health Professions also has a high minority enrollment rate. The individuals appointed have a specific purpose – to increase diversity and improve it. Dr. Henrich is proud of Dr. Hromas, in collaboration with Office of the President, the Long School of Medicine has started to offer scholarships targeting under-represented minority students of ability who are often recruited away by other institutions. He is hopeful this effort will help attract minorities, in addition to other incentives. Dr. Henrich expressed his firm commitment to train minorities in healthcare. He feels strongly that future medical providers need to look more like the population they care for. Dr. Hromas is happy to offer scholarships to minorities who are superstar, academic students that are being lost to Harvard and Yale. At the very least, training of these healthcare providers at UT Health and University Health is keeping them in the Board of Managers Meeting Tuesday, January 26, 2021 Page 4 of 15

State. Dr. Kelley asked about recruitment of minorities to the residency programs at UT Health. She recalled how competitive the Ob/Gyn residency program was for admission. UT Health has several programs aimed at improving minority recruitment. First, there is a virtual diversity residency webinar annually that has 300 to 400 minority medical students from across the country attend. There is also a breakfast for minority medical students when they interview for residencies where they are matched with a minority faculty and a minority physician resident that serves as a mentor. Scholarships are offered to well-credentialed students especially from minority schools where UT Health pays for travel and lodging for an entire month so that these potential students can see first-hand what UT Health offers. UT Health does very well in recruiting women – both to the school of medicine and residency training programs. Fifty (50) percent of the residents are women in general medicine, family medicine, pediatrics, orthopedic, neurosurgery, and urology. Not doing well in recruiting women or male minorities to surgical subspecialties. The match for resident physicians is very competitive and has become more so recently. UT Health uses individuals to portray what has been done at UT Health as a welcome home to anyone of any background. Dr. Hromas feels the team does a good job of trying to bring more minorities on campus and accordingly, are targeting surgical subspecialties at this time. Dr. Jimenez recommended an excellent article which appeared in Modern Healthcare last summer authored by the Dean of Meharry Medical College regarding the importance of recruiting and training minorities in the next quarter of a century in this nation. He was very pleased to learn what UT Health reported today. ACTION: This report was provided for informational purposes only; no action by the Board was required. EVALUATION: None. FOLLOW-UP: None.

NEW BUSINESS:

CONSENT AGENDA — JIM ADAMS, CHAIR

CONSIDERATION AND APPROPRIATE ACTION REGARDING MEDICAL-DENTAL STAFF MEMBERSHIP AND PRIVILEGES — RAJEEV SURI, M.D., PRESIDENT, MEDICAL/DENTAL STAFF

SUMMARY: Pursuant to Article III, Section 3.3-1 of the Medical-Dental Staff Bylaws, initial appointments and reappointments to the Medical-Dental Staff of University Health shall be made by the Board of Managers. The Board of Managers shall act on initial appointments, reappointments, or revocation of appointments only after there has been a recommendation from the Executive Committee of the Medical-Dental Staff. If approval is granted by the Board of Managers, the clinical provider is placed on a two-year reappointment cycle. After 12 months’ provisional review, the provider’s status changes from Provisional to Active or Courtesy Staff depending on board certification and the frequency of patient encounters during the previous 12 months. The Credentials Committee met on December 14, 2020November 23, 2020, and reviewed the credential files of the Board of Managers Meeting Tuesday, January 26, 2021 Page 5 of 15

individuals listed in the written Credentials Committee Report and Professional Performance Evaluation Report provided to the Board of Managers. At its meeting of January 5, 2021, in accordance with University Health’s credentialing and privileging process, the Executive Committee of the Medical-Dental Staff approved the Credentials Committee’s Report and its recommendation for clinical privileges for staff membership. The Executive Committee recommends approval by the Board of Managers of the Credentials Committee Report.

CONSIDERATION AND APPROPRIATE ACTION REGARDING MEDICAL-DENTAL STAFF RECOMMENDATIONS FOR PROFESSIONAL PRACTICE EVALUATIONS AND DELINEATION OF PRIVILEGES — RAJEEV SURI, M.D., PRESIDENT, MEDICAL/DENTAL STAFF

SUMMARY: The Credentials Committee met on December 14, 2020, and reviewed proposed revisions to Delineation of Privileges and the Professional Performance Evaluation Reports and forms, which were provided to the Board of Managers. In its meeting of January 5, 2021, the Executive Committee of the Medical-Dental Staff approved the following: 1) Focused/Ongoing Professional Performance Evaluation Report 2) Delineation of Privileges a. University Health i. Internal Medicine/Pulmonary (Revised) ii. Radiation Oncology (Revised) b. Ambulatory Surgery Center – Medical Center i. Radiation Oncology (Revised)

CONSIDERATION AND APPROPRIATE ACTION REGARDING AN AMENDMENT TO THE LEASE CONTRACT WITH CROSSROADS MALL PARTNERS, LTD. — DON RYDEN

SUMMARY: University Health currently leases 40,544 sq. ft. of office space at Wonderland of the America. This space was originally designated for classroom training and competency testing clinical and non-clinical staff and providers as University Health and UT Health San Antonio under took the adoption of the new electronic health record. Wonderland of the Americas (a.k.a. – Crossroads Mall) is located on Fredericksburg Road adjacent to the IH-10 and Loop 410 interchange. It is very accessible and in close proximity to University Hospital. It provides a convenient and well known location for the general public. Accordingly, staff has determined to use this site for distribution of the COVID-19 vaccine to eligible Bexar County citizens. In addition, as a pre- admission procedure for asymptomatic patients of University Hospital, COVID-19 screening will be performed here prior to their admittance to the hospital. Previously, this pre-procedure testing was done at the Express Med Pavilion. The original one year lease term for this location commenced December 1, 2019, at a rental rate of $20.00 per sq. ft. ($67,573.33 per month). The lease was amended effective October 1, 2020 with an adjusted rental rate of $7.75 per sq. ft. ($26,191.00 per month). With previously Board approved funding, the lease will terminate February 28, 2021. The proposed renewal term will extend the lease agreement to September 30, 2023. The amended monthly rental Board of Managers Meeting Tuesday, January 26, 2021 Page 6 of 15

amount of $26,191.00 will stay in effect for a total lease expense of $811,921. The lease rate includes maintenance, insurance, chilled water for HVAC, and janitorial service. There is a thirty (30) day termination clause in the lease agreement provided for both the Landlord and Tenant. This lease expense will be funded through 2021 operational funds. Staff recommends Board of Managers’ approval of the amendment to the lease contract with Crossroads Mall Partners, Ltd. thereby extending the lease term to September 30, 2023 in an amount not to exceed $811,921.

CONSIDERATION AND APPROPRIATE ACTION REGARDING THE 4TH QUARTER INVESTMENT REPORT — ROE GARRETT/REED HURLEY

SUMMARY: The Investment Portfolio Summaries for University Health and Community First Health Plans (CFHP) invested funds for the fourth quarter of 2020 were provided for the Board’s review. In total, the value of all invested funds as of December 31, 2020, was $1,643,039,457 consisting of University Health, Project, Certificate and CFHP Funds. The reports include all information required by the Texas Public Funds Investment Act. In addition, University Health and CFHP portfolio reports have been provided separately. The portfolios earned $2,180,384 in interest income during the fourth quarter, a 66% decline from $6,469,452 in the same period a year ago, reflecting the collapse in interest rates during 2020. The portfolio’s unrealized gain moderated to $4,576,861. As of December 31, 2020, University Health portfolio for operations (excluding CFHP and the debt related funds) was valued at $1,030,441,389. The portfolio, consisting of the Operating, Contingency, Capital and Tax Funds, had a weighted average yield-to-maturity of 0.54% and a weighted average maturity of 253 days. The portfolio’s yield pulled well ahead of its benchmarks this quarter, easily topping both the 6-month Constant Maturity Treasury (CMT) benchmark, which yielded 0.12%, and the 1-year CMT benchmark’s 0.38% yield. This information is presented for approval by the Board of Managers.

CONSIDERATION AND APPROPRIATE ACTION REGARDING PURCHASING ACTIVITIES (SEE ATTACHMENT A) — ANTONIO CARRILLO/TRAVIS SMITH

SUMMARY: A total of 21 contracts with a value of $29,544,342 are being presented to the Board of Managers during the month of January 2021. The following contracts require approval by BCHD Board of Managers: 13 consent contracts with a total value of $10,323,115; and 8 presented contracts with a total value of $19,221,227. During the month of January 2021, there were four contracts classified as a Small, Minority, Woman, or Veteran Owned Business Enterprises (SMWVBE). The January 2021 SMWVBE Status Report reflects items submitted for Board approval. CONSENT AGENDA RECOMMENDATION: Staff recommends approval of all of the items above on the Consent agenda.

CONSENT AGENDA A MOTION to approve staff’s recommendation was made by Dr. ACTION: Jimenez, SECONDED by Dr. Kelley, and PASSED UNANIMOUSLY.

CONSENT AGENDA EVALUATION: None. Board of Managers Meeting Tuesday, January 26, 2021 Page 7 of 15

CONSENT AGENDA FOLLOW-UP: None.

ACTION ITEMS:

CONSIDERATION AND APPROPRIATE ACTION REGARDING SELECTED PURCHASING ITEMS:

CONSIDERATION AND APPROPRIATE ACTION REGARDING A CONTRACT WITH WASTE MANAGEMENT NATIONAL SERVICES, INC. FOR WASTE STREAM MANAGEMENT SERVICES — JIM WILLIS

SUMMARY: Waste Management National Services, Inc. (Waste Management) has provided services to University Health since 2011. The original contract was awarded to Waste Management through Request for Proposal (RFP) 210-10-279-IF. There have been 11 subsequent amendments to the original contract. All renewal options have been exhausted and a new contract was solicited through RFP 220-09-051-SVC. On October 22, 2020, only one response by Waste Management was received by Procurement Services. After careful consideration and review, management’s recommendation is to award the master waste stream services contract to Waste Management. During the course of the previous 10 years, Waste Management has been an excellent partner, they have provided ongoing annual reviews for all University Health waste streams and provided operational expertise and technology to reduce waste stream volumes and costs. During the term of the original agreement, there have been no regulatory findings. The value of a new five-year contract with Waste Management is $10,123,895. Breakdown of costs are as follows: Waste Management 2021 2022 2023 2024 2025 Fees Annual Flat $1,600,619 $1,600,619 $1,600,619 $1,600,619 $1,600,619 Fee Transactional $294,160 $294,160 $294,160 $294,160 $294,160 Fees Overage Fee $50,000 $150,000 $200,000 $250,000 Yearly Total $ 1,894,779 $1,944,779 $2,044,779 $2,094,779 $2,144,779 5 Year Total = $10,123,895

University Health produces 9 million pounds of trash yearly. The workforce composition data of Waste Management National Services, Inc., was provided for the Board’s review. RECOMMENDATION: Staff recommends Board of Managers’ approval of a master waste stream services contract with Waste Management for five years at a cost not to exceed $10,123,895 with the option for four one-year renewals. ACTION: A MOTION to approve staff’s recommendation was made by Dr. Kelley, SECONDED by Mr. Morris, and PASSED UNANIMOUSLY. EVALUATION: Dr. Jimenez expressed concern that out 819 employees at Waste Management, 572 employees are white. The diversity of the workforce does not represent Bexar County and he sees opportunity for them to improve their diversity while working with University Health. Board of Managers Meeting Tuesday, January 26, 2021 Page 8 of 15

FOLLOW-UP: Staff will bring Dr. Jimenez’s concern to the attention of Waste Management leadership and will encourage diversification of their workforce.

CONSIDERATION AND APPROPRIATE ACTION REGARDING THE FINANCIAL REPORT FOR DECEMBER 2020 — REED HURLEY

SUMMARY: In December, University Health operations continued to be significantly impacted by the COVID-19 crisis resulting in stay at home and social distancing directives reducing patient activity. Clinical activity (as measured by inpatient discharges) was down 6 percent for the month compared to budget. Year-to-date inpatient discharges were down -10.1 percent compared to budget. Community First Health Plans (CFHP) fully insured membership was up 14.8 percent to budget. On a consolidated basis, gain from operations was $63.2 million, $51.4 million better than budget. The consolidated bottom line gain (before financing activity) was $54.4 million, $47.4 million better than the budgeted gain of $6.9 million. Higher supplemental, net patient revenue and CFHP premium revenue slightly offset by higher operating expense resulted in performance better than budget. CFHP experienced a bottom line gain of $5.4 million, which was $2.2 million better than the budgeted gain of $3.1 million. Higher premium revenue offset by premium deficiency reserve cost accounted for the improved Mr. Hurley reviewed notable increases and/or decreases from the December 31, 2019 Consolidated Balance Sheet in detail with the Board. RECOMMENDATION: Staff recommends approval of the financial reports subject to audit. ACTION: A MOTION to approve staff’s recommendation was made by Mr. Hasslocher, SECONDED by Dr. Kelley, and PASSED UNANIMOUSLY. EVALUATION: Dr. Jimenez specifically asked about trends in employee compensation and medical supplies. Employee compensation was over budget $5.6 million or 9.5 percent for December and under budget $18.3 million year to date. Salaries were over budget $2.7 million for the month primarily due to the annual PTO accrual. Year to date salaries were under budget $11.0 million year to date due primarily to lower Epic costs and patient activity due to COVID-19. Supply costs were over budget $3.7 million or 17.3 percent in December and under budget $3.6 million year to date. The variance to budget is the result of higher medical supplies of $3.1 million. Year to date pharmaceuticals were under budget $11.3 million and implant costs were under $9.5 million offset by medical supplies over budget $18.5 million. FOLLOW-UP: None.

PRESENTATIONS AND EDUCATION:

FOURTH QUARTER QUALITY REPORT — BRYAN ALSIP, M.D.

SUMMARY: The Quality Metric Summary for the period January to November 2020 indicates Length of stay (LOS), sepsis LOS, mortality, and Hospital- Acquired Infections were below baseline and not at target YTD. The goal for 2020 for sepsis length of stay is 13.33 days as compared to 2019 baseline performance of 14.54 days. This metric is currently at a value of Board of Managers Meeting Tuesday, January 26, 2021 Page 9 of 15

16.78 days. The goal for 2020 for mortality is a ratio of 0.66 as compared to 2019 baseline performance of 0.67. This metric is currently at a value of 0.77.

Readmissions, patient safety, SEP-1 Bundle, and PC-02 (C-Section) were better than baseline but not at target YTD.

Hospital readmissions are measured as an observed to expected ratio of readmissions to the hospital within 30 days of the initial admission for the eight readmission diagnoses incorporated into the CMS Readmission Reduction Program. The goal for 2020 for hospital readmissions is a ratio of 0.84 as compared to 2019 baseline performance of 0.98. This metric is currently at a value of 0.97.

To date, all six metrics of the Patient Safety Composite for 2020 are better than 2019 baseline performance targeted goals and three (PSI-9, PSI-11 and PSI-15) are significantly better than targeted goals.

PSI-90 and Process are better than target YTD. Performance to date is excellent for these metrics and is significantly better than 2019 baseline and well beyond target goal performance (133 percent to target).

Performance for all HAI metrics for 2020 is at 72 percent of target and worse than 2019 baseline with the exception of CDI and SSIs for colon surgical patients, both of which are better than the 2019 baseline. The trend for all HAI metrics improved in September through November 2020.

The goal for 2020 for the sepsis bundle compliance is 54 percent as compared to 2019 baseline performance of 38 percent. This metric is currently at a value of 50.5 percent.

The goal 2020 goal for Cesarean section (PC-02) rate core measure is 23 percent. The current value is 26 percent, better than 2019 baseline performance of 29 percent.

Length of stay for all inpatients is calculated as the ratio of observed length of stay (LOS) to expected LOS. The goal for 2020 for all inpatient length of stay is a ratio of 0.81 as compared to 2019 baseline performance of 0.85. This metric is currently at a value of 0.85.

Length of Stay, Sepsis Length of Stay, and Mortality were negatively impacted by the extended length of stay observed among COVID-19 positive inpatients admitted to University Hospital during the second and third quarter. Dr. Alsip reviewed average length of stay trend comparison for the period January through November 2020. For the month of November there were 137 COVID positive cases at University Hospital and the COVID+ average length of stay was 7.45 days while the non-COVID average length of stay was 6.04 days. Non-COVID visits were at 2,784. Board of Managers Meeting Tuesday, January 26, 2021 Page 10 of 15

Mortality is calculated as an observed to expected ratio based on national data for patient diagnoses and severity of illness. The goal for 2020 for mortality is a ratio of 0.66 as compared to 2019 baseline performance of 0.67. This metric is currently at a value of 0.77

There was a reduction in performance during the second quarter with device-associated infections (CAUTI and CLABSI) among the COVID- 19 patient population. The goal for 2020 for CLABSI is 0.53 as compared to 2019 baseline of 0.55. This metric is currently at 1.02. The goal for 2020 for CAUTI is 1.05 as compared to 2019 baseline performance of 1.65. The metric is currently at 1.73 days.

The 2020 goal for Healthcare-Associated C. difficile infections (per 10,000 patient days) was 4.00 as compared to the 2019 baseline of 4.10. This metric is currently at 3.56.

The 2020 goal for 30-day readmissions (O:E) is 0.84 as compared to 2019 baseline performance of 0.98. This metric is currently at 0.84.

Patient Safety Indicators – Rate per 1000 –To date, all six metrics are better than 2019 baseline performance targeted goals and three (PSI-9, PSI-11 and PSI-15) are significantly better than targeted goals. Although opportunity remains with PSI-3, we have seen a marked improvement in performance September through November 2020 with zero events in November (lower is better). Patient safety indicators (PSI) composite metric was revised in 2020 to reflect an increased focus on specific components of the Leapfrog Hospital Safety Score and the PSI-90, which also impacts the CMS Hospital Star Rating program. PSI-90 is a calculated, risk-adjusted observed to expected ratio determined from clinical documentation coding. The goal for 2020 for the PSI-90 metric is a ratio of 0.70 as compared to 2019 baseline performance of 0.84. This metric is currently at a value of 0.66. This is better than goal at 105 percent to target and represents a significant improvement over baseline.

The goal for 2020 for the sepsis bundle compliance is 54 percent as compared to 2019 baseline performance of 38 percent. This metric is currently at a value of 50.5 percent.

CMS Dialysis Facility Compare – October 2020 Release for 2016-2019 Data – For this time period, University Dialysis West, University Dialysis Southeast, and University Dialysis South each received a 5-star quality of patient care rating (much above average)

RECOMMENDATION: This report was provided for informational purposes only. ACTION: No action was required by the Board of Managers. EVALUATION: Dr. Jimenez asked about University Hospital’s visitation policy during the pandemic and whether the policy would have had any impact on the data presented today? University Hospital restricted patient visitation due to the potential mitigation and risk of infection. On the other hand, providers may counter-claim that having fewer visitors especially by family members can adversely affect a patient’s outcome. These decisions are not made lightly. University Health is restricting visitors in Board of Managers Meeting Tuesday, January 26, 2021 Page 11 of 15

collaboration with community standards, especially with end of life scenarios, it can become very challenging. Mr. Adams commended the staff for achieving 5-star quality ratings from CMS on three dialysis facilities. He is well aware that when the staff and physicians of University Health set out to something, as they have with dialysis, it gets accomplished. Mr. Adams, however, is disappointed with some the data presented today. The staff has room to improve outcomes when competing nationally. If University Health wants to be known among the best in the country, staff needs to seriously look at what is happening and produce better outcomes. University Health is a competent health system in everything it does with UT Health. Dr. Hromas completely agrees and pledged the assistance of UT Health’s Chief Medical Officer, Dr. Robert Leverence to work closely with Dr. Alsip and staff to develop a quality improvement plan for University Hospital. FOLLOW-UP: None.

UNIVERSITY HEALTH COVID-19 UPDATE — BRYAN ALSIP, M.D./ED BANOS

SUMMARY: Bexar County has seen over 148,000 confirmed cases and over 2,000 deaths affected by the COVID-19 virus. University Health was one of the first healthcare organizations in the county to do and support other hospitals with COVID-19 testing and the administration of 2,000 vaccinations a day as of January 2021. Mr. Banos reviewed COVID-19 related actions and contributions made by University Health. In collaboration with the Regional Medical Operations Center (RMOC), University Health assisted with early COVID-19 testing for the community, and in early 2020, University Hospital’s Emergency Department immediately created new locations and surge protocols to appropriately care for additional surge increases expected in the area.

 May 4, 2020 - University Health transitioned support of operations at the Joe Freeman Coliseum in order to redeploy staff to provide in- house testing capabilities.  October 2020 - University Health Vaccine Program Implementation Group organized internal efforts in anticipation of the forthcoming COVID-19 vaccines.  November 2020 - UT Health launched a COVID-19 Vaccine Assessment and Access Task Force including University Health representatives to coordinate planning efforts  December 18, 2020 - University Health staff and providers eligible to receive the vaccine in Phase 1A began. Inpatient Capacity Management -  Mid - November 2020 - Inpatient COVID-19 admissions began significantly increasing and University Hospital enacted a phased response plan to ensure appropriate bed availability for services.  November 19, 2020- University Hospital began converting inpatient rehabilitation beds into medicine beds, which allowed adding up to 27 additional medicine inpatient beds for patient surge.  November 30, 2020 - Four additional medicine beds were added to 9th floor Rio Tower.  December 3, 2020 - Additional COVID-19 ICU beds were created on 8th Floor Sky Tower as a backup to 5th floor ICU. Board of Managers Meeting Tuesday, January 26, 2021 Page 12 of 15

 December 17, 2020 - Sky Tower third floor Pre-Op patients were relocated to the new Advanced Diagnostic Center, which opened up the third floor Pre-Op area for up to 21 additional medicine beds.  January 4, 2021 - University Hospital paused elective surgeries requiring a postoperative inpatient stay, except for Tier 3 procedures which can include trauma, transplants, cardiac surgery, cancer, or neurosurgery procedures. Ambulatory surgery centers remained opened.  January 11, 2021 - Advanced Diagnostic Center was converted into an inpatient medicine unit for up to 30 inpatients, if needed.  January 11, 2021 - Only procedures scheduled at University Hospital were those meeting 3a or 3b criteria. University Hospital limited visitors in alignment with all other Bexar County Hospitals.  January 19, 2021 - University Health has received and processed a cumulative total of 102,465 COVID-19 diagnostic tests.  University Hospital continues to receive all adult and pediatric trauma patients transported by EMS directly from the locations where people are injured. Brooke Army Medical Center (BAMC) will temporarily receive all adult trauma transfers from other hospitals in the region. BAMC is voluntarily serving as a regional resource for critically ill COVID-19 patients requiring ECMO Pharmacy Operations and Support -  Staff has worked diligently with local and state officials to “think outside the box” and has supported four studies, with over 250 patients, one of which was the largest in the world.  Re-wrote the entire medication administration time protocols to combine treatment doses.  Dedicated one pharmacist 24/7 to support therapeutic efforts in the Emergency Department to ensure quality and timely patient care.  Successfully navigated through approximately 141 critical drug shortages, and provided alternatives to ensure therapeutic treatment consistency  Manufactured monoclonal antibodies in a sterile environment to prevent mild symptoms from becoming severe enough to require hospitalization. University Health offered to collect the allocations given to each hospital in the county, making 100 products per day for the Regional Infusion Center located at the Freeman Coliseum.  Developed an operational plan to provide all vaccine administrators in a ready-to-use bar code labeled syringe. University Medicine Associates –  April 2020 - Peak utilization of telehealth within UMA. More than 82 percent of patients were seen via telehealth. More than 17 percent of patients were seen via face-to-face encounters. Total UMA encounters for 2020 were 409,096 and of that total, 152,297 were telehealth encounters which represented 37.23 percent of the volume for the year.  January 2021 - UMA works closely with Epic Ambulatory team to evaluate workflows to integrate telemedicine within the MyChart Application. Procurement - Board of Managers Meeting Tuesday, January 26, 2021 Page 13 of 15

Initially, staff was expecting extremely limited days of critical Personal Protective Equipment (PPE); however, the Supply Chain team developed alternate sourcing methods while building an emergency stock.  N95 masks went from as low as a three days to over 945 days at the current utilization rate.  Isolation gown stock was grown to an 87 day supply and includes the use of reusable gowns to minimize the utilization rate of disposable gowns.

January 18, 2021 - University Health has administered 35,431 doses of Moderna and Pfizer vaccine (staff, first responders, frontline health care workers outside University Health, teachers and members of the public who are in the 1B category of 65+ or with chronic health conditions). In late December, leadership selected Wonderland of the Americas as the hub site for University Health. Almost 1,500 doses were administered to the community on the first day (January 4).

February 2021 - Expectations are to open a larger site at Wonderland of the Americas to accommodate up to 5,000 daily vaccinations. Meanwhile, the Robert B. Green Campus has expanded services to support other front line organizations such as CommuniCare, CentroMed, CHCS, and the San Antonio Food Bank. University Health is working with Metro Health, STRAC, WellMed, and UT Health San Antonio on a frequent basis to load balance weekly vaccine allotments to sustain the multiple-site community-based mass vaccination model.

Dr. Alsip praised University Health’s communications team for the critical and important role they have played during the pandemic which began almost one year ago, January 29, 2020. He and Ms. Kirkman discussed the importance of communication and the team’s understanding and focus on evidence based practices and transparency which has served University Health very well. In October 2020, they also discussed the uncertainties that could be a challenge in terms of communicating. Ms. Kirkman and her team have done an outstanding job and are busier now than when the pandemic began. Communication is, and will be, critical as the community moves further along.

ACTION: This report was provided for informational purposes only. EVALUATION: Dr. Jimenez initiated a discussion regarding a program on National Public Radio by the American Academy of Pediatrics regarding pediatric and adolescent mental health. There is a real concern by experts with the growing public health issue of mental health and the impact of COVID- 19 all over the country, for example, a recent suicide of a 9-year-old that was attributed to pandemic confinement and school closure. Growing prevalence of pediatric mental and behavioral health disorders, coupled with scarce psychiatric resources, has resulted in a substantial increase in the number of youth waiting in emergency departments for psychiatric care in an already overwhelmed health systems. Dr. Jimenez suggested that a packet which includes all of the local resources that are available to these families regarding mental health issues they are beginning to experience, particularly for those who use the Emergency Department and those who visit the various ambulatory clinic. Include basic information on suicide, Board of Managers Meeting Tuesday, January 26, 2021 Page 14 of 15

self-injury, depression, anxiety, panic attacks and other mental health issues, and where to go and who to call for help. Dr. Alsip agreed that healthcare providers have not touched upon the scope of the mental health issues that continue to surround this pandemic. From Dr. Alsip’s standpoint, in working with the staff, University Health providers are sensitive and aware of those issues. Through Ms. Kirkman’s communications team, those resources for healthcare providers have been listed. The challenge for providers are those patients who are not coming to clinic and are not being seen. There is a huge demand in getting those resources to community members in need, especially those not coming in for healthcare; mental health is just as important in that regard. Ms. Fernandez noted existing opportunities to get that information out due to the partnerships, collaborations, and numerous entities University Health deals with in the community. She suggested University Health be proactive and initiate this conversation with schools and universities as it relates to COVID. Although patients may not be coming to the Emergency Department seeking help at this time, University Health’s presence in the community is so that strong that there is opportunity to capitalize on existing partnerships to be the disseminators of such information. Mr. Hernandez spoke on his intention to negotiate and improve contracts with Clarity Children’s Guidance Center for additional mental health support. Some cities are tackling vaccine distribution in a random fashion. In San Antonio, the decision was made early on to work with the 19 school districts in Bexar County and University Health was able to allocate vaccine for their 1A and 1B qualified staff. The consensus was that targeting the school districts would be a good move for the community. Children are desperate because they are not in school, they miss their friends, teachers, and the lack of interaction. University Health has had tremendous success having vaccinated over 3,000 school district employees who met the 1A or 1B requirement. It is important that administrators apply judgement to some of the requirements being set forth by the state to keep the infrastructure of this community alive. Mr. Adams is amazed and proud that the staff is looking beyond what needs to be done. Dr. Kelley commended the staff for the outstanding and smooth process set out for the vaccine rollout. It was fascinating for her to read the update about all the planning and work that takes place behind the scenes. She drew attention to a sentence in Mr. Banos’ written report which summarizes her personal belief: “The past year has been one that defined University Health’s commitment to the community and how a public hospital system can be a leader in the community for all its citizens.” Dr. Jimenez thanked University Health leadership for taking a public health approach to this issue. He is especially moved by the staff’s concern about the mental health aspect of this pandemic. FOLLOW-UP: None.

INFORMATION ONLY ITEMS:

REPORT ON THE 87TH TEXAS LEGISLATURE — ANDREW SMITH

UNIVERSITY HEALTH FOUNDATION UPDATE — SARA ALGER Board of Managers Meeting Tuesday, January 26, 2021 Page 15 of 15

REPORT ON RECENT RECOGNITIONS AND UPCOMING EVENTS — LENI KIRKMAN

UPDATE ON THE WOMEN’S AND CHILDREN’S HOSPITAL AND ASSOCIATED PROJECTS — DON

SUMMARY: Mr. Adams directed his colleague’s attention to the four informational reports above and urged them to contact staff members directly with questions and/or comments. RECOMMENDATION: These reports were provided for informational purposes only. ACTION: No action was required by the Board of Managers EVALUATION: None FOLLOW-UP: None.

ADJOURNMENT:

There being no further business, Mr. Adams adjourned the meeting at 7:10 m

______James R. Adams Margaret A. Kelley, MD. Chair, Board of Managers Secretary, Board of Managers

______Sandra D. Garcia, Recording Secretary A. University ) .... Health

BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS

Tuesday, February 23, 2021

Consideration and Appropriate Action Regarding Medical-Dental Staff Membership and Privileges

Background:

The Board ofManagers ofUniversity Health System has approval authority for the appointment of clinical providers to the Medical-Dental Staff and the granting of clinical privileges for overseeing the quality ofcare and provision oftreatment to patients. University Health System's Professional Staff Services department (PSS) is responsible for ensuring compliance regarding all applicants for the credentialing and privileging ofproviders. Operating under the strict standards, Professional Staff Services ( ) handles the Health System's credentialing and privileging process from beginning to end as outlined below.

Credentialing Process:

Requests for the credentialing and privileging of clinical providers are collected and reviewed by UHS Medical-Dental Staff Coordinators who ensure that all necessary information is included in the application. A properly completed application is then sent to the Central Verifications Office (CVO) staff, within the UHS Professional Staff Services department, to perform primary source verifications ofall professional activities from graduation ofmedical school to the present.

Once the CVO staff has completed the primary source verifications, the UHS PSS staff assembles a complete file to be reviewed by the appropriate clinical Department Chair at the UT Health School of Medicine. Once approved by the Department Chair, the complete file is presented to the appropriate Medical-Dental Staff Committee - either the UHS Allied Health or UHS Physician Credentials Committee for review and approval.

Upon approval, Professional Staff Services for UHS will request temporary privileges for the provider. Approval from the following are required in order to grant the Pendency of Application for Temporary Privileges: Chief of Medical-Dental Staff; the Director of UHS Professional Staff Services department; the VP ofLegal Services; President/CEO of Consideration and Appropriate Action Regarding Medical-Dental Staff Membership and Privileges February 23, 2021 Page 2 of 2

the Health System or designee (Chief Medical Officer); and the Executive Committee of the Medical-Dental Staff. The UHS Board ofManagers has final approval ofall applicant files.

If final approval is received from the Board ofManagers, the provider is placed on a two­ year reappointment cycle. After 12 months' provisional review, the provider's status changes from Provisional to Active or Comtesy Staff depending on board certification and the frequency ofpatient encounters during the previous 12 months.

Pursuant to Article III, Section 3.3-1 of the Medical-Dental Staff Bylaws, initial appointments and reappointments to the Staff shall be made by the Board of Managers. The Board of Managers shall act on initial appointments, reappointments, or revocation of appointments only after there has been a recommendation from the Executive Committee.

The Credentials Committee met on January 25, 2021 and reviewed the credential files ( ) of the individuals listed on the attached Credentials Report and the Professional Performance Evaluation Report. In its meeting of February 2, 2021, the Executive Committee ofthe Medical-Dental Staff recommended approval ofthe following:

1) Credentials Committee Report

Recommendation:

The following list of providers have been reviewed and approved in accordance with the Health System's credentialing and privileging process. We recommend the Board of Mangers appr clinical privileges for the attached list ofproviders. as,;,.,_.,__,,,/~

M.P.H. Rajeev Suri, M.D. dent/ resident, Medical-Dental Staff Chie e 1c er l) ' r. President/Chief Executive Officer A University ¥ Health CREDENTIALS COMMITTEE January 25, 2021 Revised February 2, 2021

::;,;,~: t::»f/:~H;:;y~t:'.;,}:\ :l,}i,~:~~t~Tz;,;~~\f: S?if'.,j\!}~?'.A<'.,\c~eZJtPZ:iJi{j}E)ifjlfijjililltSltlCl:&&;'5

Davis, Jeremy, PsyD Temporary Neurology Tadiparthy, Satvika, MD Temporary Family & Community Medicine

El Baage, Thar, MD Emergency Privileges Garza, Tabatha, NP Emergency Privileges Family & Community Medicine Barriga, Juan C., MD Emergency Privileges Medicine/Pulmonary Medicine

1 NAME STATUS DEPARTMENT/SECTION COMMENTS Anesthesiology Bent1 Sabrina T., MD Pending Duesterhoeft, D'Ann Pending Anesthesiology Schaab, Tara J,, MD Pending Ophthalmology

;:11~~;:ao,n:e:~it:irrutua~v7A1?ffrt:+J~IWJ~mAt1-C!IJ£tr,TT:: NAME STATUS DEPARTMENT/SECTION COMMENTS Bent, Sabrina T,, MD Pending Anesthesiology Duesterhoeft, D' Ann Pending Anesthesiology Hall, Kevin L, MD Pending Obstetrics/Gynecology Kost, Edward R., MD Pending Obstetrics/Gynecology Nelson, Erin, MD Pending Obstetrics/Gynecology The initial applications listed below were presented in an ad hoc committee on 01/12/2021 Evans, Elizabeth C., MD Temporary Obstetrics/Gynecology Mccann, Georgia A,, MD Temporary Obstetrics/Gynecology Medrano Valle, Gabriel A., MD Temporary Obstetrics/Gynecology Newton, Luke, MD Temporary Obstetrics/Gynecology Robinson, Randal D,, MD Temporary Obstetrics/Gynecology

REAPPOINTMENTS (February 25, 2021- December 31, 2022)

Medicine/Gastroenterology Hutting, Haley G,, MD Anesthesiology Karia, Ravi A., MD Active Orthopaedics/Trauma Lam, Khim K., MD Active Obstetrics/Gynecology Lopera, Jorge E., MD Active Radiology McClure, Matthew L, MD Active Anesthesiology Addition to Privileges

Mehra, Naveen K. 1 MD Active Anesthesiology Nagpal, Ameet S., MD Active Anesthesiology Nelson, Erin L, MD Active Obstetrics/Gynecology Nguyen, Patrick, MD Active Surgery/General Surgery Powell, Cynthia L, CRNA Advance Practice Nurse Anesthesiology Rosenkranz, Laura M., MD Active Medicine/Gastroenterology Sehgal, Savitha D,, MD Active Anesthesiology Van Sickle, Kent R., MD Active Surgery/General Surgery Wang, Howard T,, MD Active Surgery/Plastic & Reconstructive Surgery

Anesthesiology Hubbard, Hopethe H., MD Provisional Medicine/Gastroenterology Hutting, Haley G,, MD Active Anesthesiology Lopera, Jorge E., MD Active Radiology McClure, Matthew L, MD Active Anesthesiology Addition to Privileges

2 Mehra, Naveen K., MD Active Anesthesiology Mittal, Naveen K., MD Active Pediatrics/Gastroenterology Nagpal, Ameet s., MD Active Anesthesiology Nguyen, Patrick, MD Active Surgery/General Surgery : Powell, Cynthia L., CRNA Advance Practice Nurse Anesthesiology Rosenkranz, Laura M., MD Active Medicine/Gastroenterology Sehgal, Savitha D., MD Active Anesthesiology

Bird, Stephen C., DO Active Anesthesiology Hutting, Haley G., MD Active Anesthesiology McClure, Matthew L., MD Active Anesthesiology Addition to Privileges Mehra, Naveen K., MD Active Anesthesiology Nagpal, Amee! S., MD Active Anesthesiology Powell, Cynthia L., CRNA Advance Practice Nurse Anesthesiology Sehgal, Savitha D., MD Courtesy Anesthesiology

Walker, Joshua L., PF Clinical Associate Cardiothoracic Surgery

Auerbach, Andrew J., MD Active Emergency Medicine Emergency Medicine Sisson 1 Craig A., MD Active Sparkman, Mark K., MD Active Emergency Medicine

Ahsan, Syed K., MD Active Family & Community Medicine Ali, Fozia A., MD Active Family & Community Medicine Avery, Richel Z., MD Active Family & Community Medicine Bland, Leticia, PA-C Physician Assistant Family & Community Medicine Fadare, Victoria R., FNP Advance Practice Nurse Family & Community Medicine Mughal, Mohammad, MD Active Family & Community Medicine Pardo-Agila, Andres D., MD Active Family & Community Medicine Shrouf, Ellen M., PhD Affiliate Family & Community Medicine Wagle Sharma, Deepa, FNP Advance Practice Nurse Family & Community Medicine Zaheer, Ayesha N., MD Active Family & Community Medicine

Bobadilla Jr, Raudel, RA, CHW Research Associate Medicine/ General Medicine Cadena Zuluaga, Jose A., MD Active Medicine/ Infectious Diseases Cochran, Chanel D., FNP Advance Practice Nurse Medicine/ Hospital Medicine Conejo, Augustine E., ACAGNP Advance Practice Nurse Medicine/Nephrology Covington, Andrea L., MD Provisional Medicine/ Hospital Medicine Del Rincon, lnmaculada, MD Active Medicine/ Rheumatology Garcia, Sean E., MD Active Medicine/ Hospital Medicine 3 Gilson, Robert T., MD Active Medicine/ Dermatology Hanson, Joshua T., MD Active Medicine/ Hospital Medicine Hartzler, Anthony W., MD Active Medicine/ Hospital Medicine Medicine/ Hospital Medicine Hinojosa 1 Marco A., MD Active Hubbard, Hopethe H., MD Active Medicine/ Gastroenterology Koops, Maureen K., MD Active Medicine/ Endocrinology Malave, Adriel J., MD Active Medicine/ Pulmonary Diseases Owens, Aaron D., MD Active Medicine/Hospital Medicine Perez, Elaine R., ACAGNP Advance Practice Nurse Medicine/Hospital Medicine Ramachandran, Ambili, MD Active Medicine/ Hospital Medicine Rosenkranz, Laura M., MD Active Medicine/ Gastroenterology

Cardenas, Lorena D., PA-C Physician Assistant Neurology Karkar, Kameel M., MD Active Neurology Marques Zilli, Eduardo, MD Active Neurology Additions to Privileges

Romero 1 Rebecca, MD Active Neurology

Obstetrics/Gynecology Lam, Khim K., MD Obstetrics/Gynecology Nelson, Erin L., MD Obstetrics/Gynecology

Physician Assistant

Furmaga, Wieslaw B., MD

Gross, Sheldon, MD Courtesy Pediatrics/Neurology Habash, Michelle L., DO Courtesy Pediatrics/ Critical Care Hanson, Elizabeth, MD Active Pediatrics/ General Pediatrics Jonatchick, Dolores A., NNP Advance Practice Nurse Pediatrics/ Neonatology Pediatrics/ Inpatient Kubes, Sarah E., PharmD Affiliate Pediatrics Leary, Linda D., MD Active Pediatrics/ Neurology Mandlik, Nandini A., DO Active Pediatrics/ General Pediatrics Addition to Privileges Meyer, Andrew D., MD Active Pediatrics/ Critical Care Mittal, Naveen K., MD Active Pediatrics/ Gastroenterology Pacheco, Monica R., MD Active Pediatrics/ Peterson, Christine M., PNP Advance Practice Nurse Pediatrics/ General Pediatrics Quinn, Amy R., MD Active Pediatrics/ Neonatology 4 Rayas, Maria S., MD Active Pediatrics/ Endocrinology Rodriguez Mendez, Marisol, MD Active Pediatrics/General Pediatrics Sherburne, Kelsey K., MD Active Pediatrics/ Inpatient

•. Pediatrics Spillane, Kaitlyn A., PA Physician Assistant Pediatrics/Critical Care Addition to Privileges Stribley, Richard F., MD Active Pediatrics/ Neonatology Wood, Pamela R., MD Active Pediatrics/ General Pediatrics

Schillerstrom, Tracy L., MD Active Taylor, Sally E., MD Active

Nute, Jessica L., PhD Clinical Associate

Davis, Glen R., TT Clinical Associate Surgery/ Transplant Doski, John J., MD Courtesy Surgery/ General Surgery Garza-Solis, Norma L., VT Clinical Associate Surgery/ Vascular Jonas, Rachelle B., RN Research Associate Surgery/ Trauma Loquias, Amanda B., FNP Advance Practice Nurse Surgery/ Trauma & Emergency Surgery Nguyen, Patrick, MD Active Surgery/ General Surgery Van Sickle, Kent R., MD Active General Surgery Wang, Howard T., MD Active Surgery/ Plastic & Reconstructive Surgery

Addition/Voluntary Reduction to Privileges

5 Bejar, Kaitlyn R., RA Research Associate Urology Additions: Performs venipuncture to obtain specific specimens required by study protocol (requires formal training program through clinical laboratory or a history of previous training and competency verification by observation by Pl); Collects and/or processes human specimens per protocol, including blood, urine, sputum, buccal swabs, etc. (requires competency verification by observation by Pl); Ships biological materials; Enters research documentation progress notes into electronic medical record, under appropriate headings or titles (requires authorized access); Obtains and organizes data such as test results, diaries/cards or other necessary information for the study; Prepares vouchers for participant payment (must comply with !RB-approved schedule); Collection of Human Specimens within an OR Setting. (must comply with OR policies and procedures). Reduction: Develops and/or implements recruitment methods to be utilized in the study Braseth, Kathryn, PA-C Physician Assistant Emergency Medicine Addition: Ultrasound Hughes, Martha E., WHNP Advance Practice Nurse Obstetrics/Gynecology Addition: Cervical Polyp Removal; EMB; l&D Abscess; l&D Bartholin Gland Cyst; Placement and Removal of IUD; Subdermal Implant (insertion/removal); Word Catheter Placement Mandlik, Nandini A., DO Active Pediatrics/ General Pediatrics Addition: Pain management; Peripheral IV placement; Uncomplicated dislocations

6 Marques Zilli, Eduardo, MD Active Neurology Addition: Preliminary radiological interpretations

', of head CT to diagnose and provide emergent clinical interventions for stroke patients McClure, Matthew L., MD Active Anesthesiology Addition: Implantation of Pain Devices (electronic programmable spinal stimulation generator, peripheral nerve stimulation generator, or infusion pump system; Spine Augmentation ASC MC: Spine Augmentation ASC RBG: Balloon Kyphoplasty; Spine Augmentation Sarwar, Zaheer U., FNP Research Associate Surgery/Vascular Addition: Nurse Practitioner Privileges Spillane, Kaitlyn A., PA Physician Assistant Pediatrics/Critical Care Addition: Arterial Puncture; Conscious Sedation; Epistaxis Control; Insert Thoracotomy Tube; Laceration

Mathew, Ruby, ACNP Advance Practice Nurse Family & Community Change Supervising Medicine Physician to Crystal Chavez, MD Martinez, Anna I., PMHNP Advanced Practice Nurse Psychiatry Returned from Leave of Absence from 9/18/2020 to 01/15/2021 Sarwar, Zaheer U., FNP Research Associate Surgery/Vascular Changing Staff Status to Advance Practice Nurse Tragus, Robin E., RN Research Associate Pediatrics/Endocrinology Transferring to Medicine/ Infectious Disease and Supervising Physician to Thomas Patterson, MD

7 Acosta, Jessica, FNP Obstetrics/Gynecology 12/31/2020 Brice, Courtney, PA-C Emergency Medicine 01/04/2021 Brunin, Katherine, PA-C Family & Community Medicine 08/10/2020 Castillo, Cynthia, MD Medicine/Internal Medicine 01/05/2021 DeForest, Patricia, DO Pediatrics 12/16/2020 Farber, Scott, MD Surgery/Plastic Surgery 01/15/2021 (ASC-MC) Hendrickson, Stephen, AGACNP Medicine/Pulmonary 10/31/2020 Higby, Kenneth, MD Obstetrics/Gynecology/Maternal Fetal Medicine 12/31/2020 Islam, Tasnim, DO Medicine/Hospital Medicine 01/17/2021 Khalaf, Hamzah, MD Ophthalmology 01/08/2021 (ASC-MC)

Locke1 Erin, RN Hospital Dentistry 02/21/2021 May, Leah C., PA Pediatrics/Neonatology 01/15/2021 Mealey, Brian, DDS Hospital Dentistry 01/01/2021 Mitromaras, Christopher, MD Surgery/Vascular Surgery 01/11/2021 (ASC-MC) Nguyen, Anhtuan, MD Ophthalmology 12/31/2020 (ASC-MC) Parmar, Sneha, MD Medicine/Cardiology 11/26/2020 Takkar, Chandan, MD Medicine/Nephrology 01/19/2021 Vizuete, Jack, DDS Oral & Maxillofacial Surgery 09/01/2020 (ASC-RBG) Weil, Sahar, FNP Neurology 12/31/2020 Zala, Gaugrang, MD Family & Community Medicine 11/26/2020

The above listed files have been reviewed by the members of the Credentials Committee and approved as submitted.

Chairman, Credentials Committee

8 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Abarbanell, Ginnie L., MD

Personal Information Languages:

Practice Information UH MAILING ADDRESS UT HEALTH SAN ANTONIO 7703 FLOYD CURL DR SAN ANTONIO, TX 78229 Telephone: Fax Number:

UH PRIMARY OFFICE ADDRESS 1901 Babcock Road Suite 301 San Antonio, TX 78229 Telephone: {210) 341-7722 Fax Number: (210) 450-2124

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment

BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: PEDIATRICS ID: 43261 Advancement: Division: PEDIATRICS - Data Bank: 12/09/2020 CARDIOLOGY Last Reappointment: Section: Query Results: Next Appointment Status: Category: FACULlY

Board Certification Certified Initial Cert. Last Cert. Expires AMERICAN BOARD OF PEDIATRIC CARDIOLOGY (PEDIATRIC CARDIOLOGY) CURRENT 08/18/2006 02/15/2021 AMERICAN BOARD OF PEDIATRICS {PEDIATRICS) CURRENT 10/21/2003 02/15/2021

Specialty 1: PEDIATRIC CARDIOLOGY Specialty 2: PEDIATRICS

Professional Liability From To Verified Method Negative UTHSCSA MALPRACTICE 02/15/2021 08/31/2021 Limits: 500,000 TO 1,500,000.00 ! Terms:

Medical/Professional Education From To Verified Method Negative UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE 06/15/1996 05/30/2000 Subject: Doctor of Medicine

Training From To Verified Method Negative Residency LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE 06/15/2000 06/30/2003 Subject: Pediatrics Fellowship UNIVERSITY OF MICHIGAN MEDICAL SCHOOL 07/01/2003 06/30/2006 10/05/2020 Print N Subject: Pediatric Cardiology

Employment From To Verified Method Negative UT HEALTH SAN ANTONIO, SAN ANTONIO, TX 02/01/2021 10/08/2020 Print N WASHINGTON UNIVERSITY , ST. LOUIS, MO 09/01/2017 10/06/2020 Internet N Children's Heart Center, Peyton Manning Children's Hospital, 08/15/2006 07/10/2013 10/12/2020 Verbal N SIBLEY HEART CENTER CARDIOLOGY, STOCKBRIDGE , GA 06/30/2013 07/28/2017 10/06/2020 Print N EMORY UNIVERSITY 06/30/2013 07/28/2017 10/07/2020 Internet N

Hospital Affiliations From To Verified Method Negative CHILDREN'S HOSPITAL ST, LOUIS, ST. LOUIS, MO 09/25/2017 Present 10/07/2020 Internet N ST JOSEPH MEMORIAL HOSPITAL - MURPHYSBORO, IL 01/29/2018 Present 10/06/2020 Internet N Progress West Hospital, O'Fallon, MO 09/01/2018 Present 10/07/2020 Internet N BARNES JEWISH HOSPITAL , ST. LOUIS, MO 10/02/2017 Present 10/07/2020 Internet N UNIVERSITY HEALTH SYSTEM , SAN ANTONIO, TX Present 10/05/2020 Print N Subject: Pending

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Abarbanell, Ginnie L., MD

SAINT FRANCIS MEDICAL CENTER - CAPE GIRARDEAU , CAPE 11/09/2017 Present 10/06/2020 Internet N GIRARDEAU, MO Subject:

CHRISTIAN HEALTH SERVICES , ST, LOUIS, MO 03/31/2020 Present 10/07/2020 Verbal N Subject:

MEMORIAL HOSPITAL OF CARBONDALE , CARBONDALE, IL 01/29/2018 Present 10/06/2020 Internet N Subject:

MISSOURI BAPTIST MEDICAL CENTER , ST. LOUIS, MO 10/16/2017 Present 10/07/2020 Verbal N Subject:

MEMORIAL HOSPITAL EAST, SHILOH, IL 03/07/2018 Present 10/08/2020 Internet N Subject:

Verbal N ALTON MEMORIAL HOSPITAL I ALTON, IL 12/31/2018 Present 10/07/2020 Subject:

SOUTHEAST HEALTH, CAPE GIRADEAU, MO 02/23/2018 Present 10/06/2020 Internet N Subject:

BOONE HOSPITAL CENTER , COLUMBIA, MO 03/04/2020 Present 10/06/2020 Internet N Subject:

HERRIN HOSPITAL , HERRIN, IL 01/29/2018 Present 10/06/2020 Internet N Subject:

MEMORIAL HOSPITAL , BELLEVILLE, IL 03/14/2018 Present 10/08/2020 Internet N Subject:

FRANCISCAN HEALTH, INDIANAPOLIS, IN 09/05/2006 02/25/2010 10/06/2020 Internet N Subject:

HOME HOSPITAL , LAFAYETTE, IN 09/05/2006 02/25/2010 10/13/2020 Internet N Subject:

RIVERVIEW HOSPITAL , NOBLESVILLE, IN 05/05/2012 05/31/2013 10/06/2020 Online N Subject:

MAJOR HOSPITAL , SHELBYVILLE, IN 04/26/2010 07/08/2013 10/06/2020 Online N Subject:

DUKES MEMORIAL HOSPITAL , PERU, IN 11/21/2011 07/10/2013 10/07/2020 Internet N Subject:

HENRY COUNTY MEMORIAL HOSPITAL , NEW CASTLE, IN 04/29/2009 07/10/2013 10/08/2020 On Line N Subject:

TERRE HAUTE REGIONAL HOSPITAL , Terre Haute, IN 11/23/2006 07/10/2013 10/06/2020 On Line N Subject:

UNION HOSPITAL , TERRE HAUTE, IN 03/22/2007 07/10/2013 10/06/2020 On Line N Subject:

Children's Heart Center and Payton Manning Children's Hospital, 08/15/2006 07/10/2013 10/12/2020 VERBL N Indianapolis , IN Subject:

Union Hospital-Clinton, Clinton, IN 10/23/2008 07/10/2013 10/06/2020 Online N Subject:

Ascension St. Vincent Indianapolis, Indianapolis, IN 07/18/2006 07/23/2013 10/07/2020 On Line N Subject:

Ascension St. Vincent Carmel, Carmel, IN 07/18/2006 07/23/2013 10/07/2020 Online N Subject:

ST VINCENT HOSPITAL, INDIANAPOLIS, IN 07/18/2006 07/23/2013 10/06/2020 VERBL N Subject:

Page 2 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Abarbanell, Ginnie L., MD

HENDRICKS REGIONAL HEALTH COMMUNITY HOSPITAL , DANVILLE, 08/11/2009 08/01/2013 10/06/2020 Email N IN Subject:

LUTHERAN HOSPITAL OF INDIANA , FORT WAYNE, IN 09/12/2006 08/01/2013 10/06/2020 On Line N Subject:

PARKVIEW MEMORIAL HOSPITAL , FORT WAYNE, IN 02/12/2008 08/13/2013 10/06/2020 Online N Subject:

Ascension St, Vincent Mercy, Elwodd, IN 11/12/2010 08/27/2013 10/07/2020 Online N Subject:

St. Vincent Mercy Hospital-Elwood, Elwood, IN 12/14/2010 08/27/2013 10/07/2020 Email N Subject:

ST ELIZABETH, LAFAYETTE, IN 09/05/2006 08/28/2013 10/13/2020 Internet N Subject:

FRANCISCAN HEALTH LAFAYETTE CENTRAL, LAFAYETTE, IN 09/05/2006 08/28/2013 10/07/2020 Internet N Subject:

FRANCISCAN HEALTH LAFAYETTE EAST, LAFAYETTE, IN 02/25/2010 08/28/2013 10/06/2020 Internet N Subject:

ST. MARY'S MEDICAL CENTER IN EVANSVILLE INDIANA, EVNASVILLE, 09/28/2007 08/30/2013 10/12/2020 Print N IN Subject:

DuPont Hospital, Ft. Wayne, IN 09/12/2006 09/10/2013 10/06/2020 Telephon N Subject: e-Memo to File St. Joseph Hospital of Ft. Wayne, Ft. Wayne, IN 10/11/2006 09/19/2013 10/07/2020 Memo to N Subject: File

REID HOSPITAL , RICHMOND, IN 09/22/2008 09/23/2013 10/06/2020 On Line N Subject:

FAYETTE REGIONAL HOSPITAL, CONNERSVILLE, IN 01/04/2013 09/24/2013 10/07/2020 Internet N Subject:

COLUMBUS REGIONAL HOSPITAL , COLUMBUS, IN 02/28/2010 09/26/2013 10/06/2020 Internet N Subject:

Ascension St, Vincent Kokomo, Kokomo, IN 04/15/2010 10/22/2013 10/07/2020 On Line N Subject:

ST. JOSEPH HOSPITAL KOKOMO, KOKOMO, IN 04/15/2010 10/22/2013 10/12/2020 VERBL N Subject;

WELLSTAR NORTH FULTON HOSPITAL, ROSWELL, GA 10/30/2013 10/28/2015 10/08/2020 Internet N Subject;

RUSH MEMORIAL HOSPITAL , RUSHVILLE, IN 04/23/2012 08/13/2016 10/06/2020 Fax N Subject:

EMORY UNIVERSITY HOSPITAL MIDTOWN, DECATUR, GA 09/23/2013 07/28/2017 10/06/2020 Internet N Subject:

HAMILTON MEDICAL CENTER , DALTON, GA 08/22/2013 07/28/2017 10/06/2020 Internet N Subject:

WELLSTAR DOUGLAS HOSPITAL , AUSTELL, GA 10/03/2013 07/28/2017 10/06/2020 Internet N Subject:

NORTHEAST GEORGIA MEDICAL CENTER I GAINESVILLE, 07/01/2013 07/28/2017 10/06/2020 Internet N GA Subject:

ATLANTA MEDICAL CENTER , ATLANTA, GA 11/06/2013 07/28/2017 10/06/2020 Internet N

Page 3 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Abarbanell, Ginnie L., MD

Subject:

PIEDMONT NEWTON HOSPITAL, COVINGTON, GA 05/12/2017 07/28/2017 10/06/2020 Internet N Subject:

TANNER HIGGINS GENERAL HOSPITAL, BREMEN , GA 10/14/2013 07/28/2017 10/06/2020 Internet N Subject: N GRADY MEMORIAL HOSPITAL , ATLANTA, GA 09/18/2013 07/28/2017 10/06/2020 Internet Subject:

TANNER MEDICAL CENTER VILLA RICA, VILLA RICA, GA 10/14/2013 07/28/2017 10/06/2020 Internet N Subject:

EMORY JOHNS CREEK HOSPITAL, DECATUR, GA 09/17/2013 07/28/2017 10/06/2020 Internet N Subject:

ST MARYS HEALTH CARE SYSTEM , ATHENS, GA 06/25/2013 07/28/2017 10/06/2020 Print N Subject:

CHILDREN'S HEALTHCARE ATLANTA , ATLANTA, GA 06/24/2013 07/28/2017 10/06/2020 Internet N Subject:

CHILDREN'S AT HUGHES SPALDING, ATLANTA, GA 06/24/2013 07/28/2017 10/06/2020 Internet N Subject:

PIEDMONT ROCKDALE HOSPITAL, CONYERS, GA 06/27/2013 07/28/2017 10/09/2020 Internet N Subject:

TANNER MEDICAL CENTER , CARROLL TON, GA 10/14/2013 07/28/2017 10/13/2020 Internet N Subject:

NORTHSIDE CHEROKEE HOSPITAL, CANTON, GA 08/21/2013 07/31/2017 10/07/2020 Print N Subject:

NORTHSIDE HOSPITAL , ATLANTA, GA 07/01/2013 07/31/2017 10/07/2020 Internet N Subject:

EMORY DECATUR HOSPITAL, DECATUR, GA 09/06/2013 08/17/2017 10/08/2020 Internet N Subject:

WELLSTAR WEST GEORGIA MEDICAL CENTER, LAGRANGE, GA 09/16/2013 08/21/2017 10/06/2020 Internet N Subject:

Eastside Medical Center, Snellville, GA 10/24/2013 08/24/2017 10/06/2020 On Line N Subject:

WELLSTAR PAULDING HOSPITAL , AUSTELL, GA 10/03/2013 08/25/2017 10/06/2020 Internet N Subject:

WELLSTAR COBB HOSPITAL , AUSTELL, GA 10/03/2013 08/25/2017 10/06/2020 Internet N Subject:

WELLSTAR KENNE STONE HOSPITAL , AUSTELL, GA 10/03/2013 08/25/2017 10/06/2020 Internet N Subject:

SOUTHERN REGIONAL MEDICAL CENTER , RIVERDALE, GA 07/25/2013 08/28/2017 10/12/2020 Internet N Subject:

GWINNETT HOSPITAL SYSTEM , LAWRENCEVILLE, GA 07/02/2013 08/28/2017 10/06/2020 Internet N Subject:

PIEDMONT FAYETTE HOSPITAL, FAYETTEVILLE, GA 08/14/2013 09/15/2017 10/06/2020 Internet N Subject:

PIEDMONT HENRY HOSPITAL, STOCKBRIDGE , GA 06/24/2013 09/18/2017 10/06/2020 Internet N Subject:

PIEDMONT NEWNAN HOSPITAL, NEWNAN, GA 06/20/2013 10/16/2017 10/06/2020 Internet N Subject:

Page 4 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Abarbanell, Ginnie L., MD

ATHENS REGIONAL MEDICAL CENTER , ATHENS, GA 01/01/2013 12/31/2017 10/07/2020 VERBL N Subject:

PEIDMONT COLUMBUS REGIONAL, COLUMBUS , GA 02/04/2016 01/31/2018 10/14/2020 Internet N Subject:

PIEDMONT HOSPITAL , ATLANTA, GA 06/13/2013 11/30/2018 10/06/2020 Internet N Subject:

Other From To Verified Method Negative GAP 07/01/2006 08/15/2006 10/05/2020 Print N

Subject: Took 6 weeks off between felfowshfp and first job given I had my first child and to study for boards

Page 5 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Barriga, Juan C., MD

Personal Information Languages:

Practice Information UH MAILING ADDRESS COMMUNITY MEDICINE ASSOCIATES 903 W. MARTIN ST., MS 27-2 SAN ANTONIO, TX 78207 Telephone: (210) 358-3324 Fax Number: (210} 358-5940

UH PRIMARY OFFICE ADDRESS UNIVERSITY MEDICAL ASSOCIATES 4502 MEDICAL DRIVE UNIVERSITY HOSPITAL SAN ANTONIO, TX 78229 Telephone: (210) 358AOOO Fax Number:

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment

BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: MEDICINE ID: 43370 Advancement: Division: PULMONARY DISEASES Data Bank: 12/24/2020 Last Reappointment: 02/23/2021 Section: Query Results: PDS Status Report Next Appointment Status: TEMPORARY Category:

"Soard Certification Certified Initial Cert. Last Cert. Expires AMERICAN BOARD OF INTERNAL MEDICINE {PULMONARY DISEASES) CURRENT 11/05/2003 04/01/2021 AMERICAN BOARD OF INTERNAL MEDICINE {INTERNAL MEDICINE) EXPIRED 08/20/2002 12/31/2012

Specialty 1: INTERNAL MEDICINE Specialty 2: PULMONARY DISEASES

Professional Liability From To Verified Method Negative THE DOCTORS COMPANY-CA 09/02/2020 09/02/2021 713-914-3250 Limits: 1,000,000. - 3,000,000. I Terms:

Medical/Professional Education From To Verified Method Negative UNIVERSIDAD CENTRAL DEL ECUADOR SCHOOL OF MEDICINE 07/01/1980 06/30/1988 Subject: Doctor of Medicine

Training From To Verified Method Negative Residency WEST VIRGINIA UNIVERSITY HOSPITAL, MORGANTOWN, WV 07/01/1997 06/30/2000 Subject: Internal Medicine Fellowship UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER-HOUSTON 07/01/2000 06/30/2003 Subject: PULMONARY & CRITICAL CARE MEDICINE

Employment From To Verified Method Negative UNIVERSITY MEDICAL ASSOCIATES, AN ANTONIO, TX 12/28/2020 12/18/2020 Email N AMN HEALTH CARE, DALLAS, TX 12/01/2020 12/18/2020 Fax N Juan Carlos Barriga, MD, PA - Solo Practice, Houston, TX 08/01/2003 12/22/2020 Fax N

Hospital Affiliations From To Verified Method Negative

UNIVERSITY HEALTH SYSTEM-SAN ANTONIO I SAN ANTONIO, TX Present 12/17/2020 Memo N ST. JOSEPH MEDICAL CENTER , HOUSTON, TX 03/23/2015 Present 12/18/2020 On Line N SELECT SPECIALTY , HOUSTON, TX 08/29/2009 08/28/2015 12/18/2020 Fax N

Other From To Verified Method Negative CONTRACTED - SELF EMPLOYED, , 12/18/2020 Memo N

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Bent, Sabrina T., MD

Personal Information Languages:

Practice Information UH MAILING ADDRESS Anesthesiology DEPARTMENT OF ANESTHESIOLOGY 7703 FLOYD CURL DRIVE SAN ANTONIO, TX 78229 Telephone: {210) 567-4500 Fax Number: (210) 567-0083

UH PRIMARY OFFICE ADDRESS UT HEALTH PHYSICIANS 7703 FLOYD CURL DR DEPARTMENT OF ANESTHESIOLOGY SAN ANTONIKO, TX 78229 Telephone: (210) 567-4500 Fax Number: (210} 567-0083

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment

BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: ANESTHESIOLOGY ID: 43237 Advancement: Division: ANESTHESIOLOGY Data Bank: 01/12/2021 Last Reappointment: Section: Query Results: PDS Enrollment Complete Next Appointment Status: Category:

Board Certification Certified Initial Cert. Last Cert. Expires AMERICAN BOARD OF ANESTHESIOLOGY/ PEDIATRIC ANES. (PEDIATRIC CURRENT 09/26/2015 12/31/2025 ANESTHESIOLOGY)

Specialty 1: ANESTHESIOLOGY Specialty 2: PEDIATRIC ANESTHESIOLOGY Specialty 3: Specialty 4:

Professional Liability From To Verified Method Negative UTHSCSA MALPRACTICE 01/04/2021 08/31/2021 Limits: $500,000 - $1,500,000 I Terms:

Undergraduate Education From To Verified Method Negative SYRACUSE UNIVERSITY, SYRACUSE, NY 08/01/1981 05/12/1985 Subject: Chemical Engineering

Medical/Professional Education From To Verified Method Negative UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE 08/01/1985 05/01/1989 DUKE UNIVERSITY 08/01/1989 06/01/1991 Subject: Biomedical Engineering

Training From To Verified Method Negative Internship DUKE UNIVERSITY HOSPITAL , DURHAM, NC 07/01/1991 06/30/1992 Subject: GENERAL SURGERY Residency UNIVERSITY OF SOUTH FLORIDA MORSANI C 07/01/1992 06/30/1995 Subject: ANESTHESIOLOGY Fellowship HOSPITAL FOR SICK CHILDREN 07/01/1995 06/30/1996 01/14/2021 Print N Subject: Pediatric Anesthesiology Fellowship Baylor College of Medicine-CLINICAL SCIENTIST TRAINING 07/01/2000 05/31/2001 01/14/2021 Print N Subject: CLINICAL SCIENTIST TRAINING PROGRAM

Employment From To Verified Method Negative TIVA Healthcare, PLANTATION, FL 10/01/2017 12/29/2020 Print N TULANE UNIVERSITY HOSPITAL SCHOOL OF MEDICINE 03/01/2013 12/15/2020 Internet N

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Bent, Sabrina T., MD

UT HEALTH SAN ANTONIO 01/04/2021 12/15/2020 Email N MEDNAX, SUNRISE , Fl 07/01/2018 12/15/2020 Internet N Bayou Anesthesiology and Pain Services,, 10/01/2003 09/01/2007 HCA HEALTHCARE 09/24/2007 02/28/2013 01/12/2021 Internet N PARISH MANAGEMENT CONSULTANTS, METAIRIE, LA 05/01/2015 09/21/2017 12/15/2020 Internet N VITRUVIAN MEDICAL, HOUSTON, TX 04/16/2018 06/29/2018 12/29/2020 Print N

Hospital Affiliations From To Verified Method Negative Navicent Health Medical Center- MACON, Macon, GA 08/19/2019 Present 12/29/2020 Internet N UHS SURGERY CENTER - RBG CAMPUS Present 12/14/2020 Print N UNIVERSITY HEALTH SYSTEM Present 12/11/2020 Print N UHS SURGERY CENTER - MEDICAL CENTER Present 12/14/2020 Print N GWINNETT HOSPITAL SYSTEM 06/01/2019 Present 01/08/2021 Print N HCA HOUSTON HEALTHCARE NORTHWEST, HOUSTON, TX 11/19/2003 10/17/2007 12/14/2020 Internet N TULANE MEDICAL CENTER , NEW ORLEANS, LA 11/01/2007 10/02/2017 12/14/2020 Internet N FLORIDA HOSPITAL FLAGLER , PALM COAST, FL 03/12/2018 04/16/2018 12/29/2020 Print N St. Joseph's Hospital - Tampa, FL, Tampa, FL 06/27/2001 01/08/2019 01/12/2021 Print N MEMORIAL HOSPITAL JACKSONVILLE, JACKSONVILLE, FL 10/27/2001 06/03/2019 12/14/2020 Internet N LAS PALMAS DEL SOL MEDICAL CENTER, El PASO, TX 04/24/2018 08/27/2019 12/14/2020 Internet N MARY WASHINGTON HOSPITAL , FREDERICKSBURG, 12/14/2018 08/01/2020 12/15/2020 Internet N Internet N STAFFORD HOSPITAL I STAFFORD, VA 12/14/2018 08/01/2020 12/15/2020

Teaching From To Verified Method Negative YALE UNIVERSITY SCHOOL OF MEDICINE , NEW HAVEN, CT 07/01/1996 09/01/1998 BAYLOR COLLEGE OF MEDICINE AT HOUSTON , HOUSTON, TX 10/01/1998 10/01/2003

Page 2 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT Provider Profile Borgman, Matthew A., MD

Personal Information Languages: ENGLISH

Practice Information UH MAILING ADDRESS UT HEALTH 7703 FLOYD CURL OR SAN ANTONIO, TX 78229 Telephone: {210) 562-5816 Fax Number:

UH PRIMARY OFFICE ADDRESS 7703 Floyd Curl MC 7829 4502 Medical Drive, University Hospital San Antonio, TX 78229 Telephone: (210) 562-5816 Fax Number: (210) 567-7555

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment

BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: PEDIATRICS ID: 42748 Advancement: Division: CRITICAL CARE Data Bank: 01/19/2021 Last Reappointment: Section: CRITICAL CARE Query Results: PDS Status Report

Board Certification Certified Initial Cert. Last Cert. Expires AMERICAN BOARD OF PEDIATRIC CRITICAL CARE (PEDIATRIC CRITICAL CURRENT 11/08/2010 02/15/2021 CARE) AMERICAN BOARD OF PEDIATRICS (PEDIATRICS) CURRENT 10/06/2007 02/15/2021

Specialty 1: PEDIATRICS Specialty 2: PEDIATRICS

Professional Liability From To Verified Method Negative UTHSCSA MALPRACTICE 01/15/2021 08/31/2021 Limits: $500,000.00/$1,500.000,00 I Terms:

Undergraduate Education From To Verified Method Negative Wake Forest University, Winston-Salem, NC 08/01/1993 05/18/1997 Subject: Biology

Medical/Professional Education From To Verified Method Negative Uniformed Services University, Bethesda, MD 08/01/2000 05/15/2004 Subject: DOCTOR OF MEDICINE

Training From To Verified Method Negative Residency SAN ANTONIO UNIFORMED SERVICES (SAUSHEC} 07/01/2004 06/30/2007 Subject: PEDIATRICS Fellowship Boston Children's Hospital, Boston, MA 07/01/2007 06/30/2010 Subject: PEDIATRIC CRITICAL CARE MEDICINE

Employment From To Verified Method Negative UT HEALTH SAN ANTONIO, SAN ANTONIO, TX 01/15/2021 12/29/2020 Print N METHODIST CHILDREN'S HOSPITAL OF SOUTH TEXAS 12/01/2013 01/14/2021 Print N PEDIATRIX MEDICAL SERVICE, INC. 01/01/2020 01/12/2021 Internet N MEDICAL CITY DALLAS HOSPITAL , DALLAS, TX 07/01/2013 07/01/2019 01/14/2021 Print N

Hospital Affiliations From To Verified Method Negative UNIVERSITY HEALTH SYSTEM , SAN ANTONIO, TX Present 12/22/2020 Print N METHODIST HEALTHCARE SYSTEM HOSPITALS SAN ANTONIO 12/20/2012 Present 12/22/2020 Internet N Brooke Army Medical Center, Ft. Sam Houston, TX 08/01/2010 Present 01/04/2021 Print N MEDICAL CITY DALLAS HOSPITAL , DALLAS, TX 07/23/2012 03/04/2019 12/22/2020 Internet N

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Carrion, Ruben R., BS

Personal Information Languages:

Practice Information UH MAILING ADDRESS UT HEALTH PHYSICIANS 7703 FLOYD CURL DR, MC 7858 SAN ANTONIO, TX 78229 Telephone: {210} 567-5777 Fax Number:

UH PRIMARY OFFICE ADDRESS UNIVERSITY HEALTH SYSTEM 4502 MEDICAL CENTER SAN ANTONIO, TX 78229 Telephone: (210) 354-4000 Fax Number: (210) 358-4775

Licensure Number State Expires Comments/Schedule None

Appointment BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: SURGERY ID: 43368 Advancement: Division: TRANSPLANT Data Bank: 01/20/2021 Last Reappointment: Section: TRANSPLANT Query Results: Next Appointment Status: Pending Category: CLINICAL ASSOCIATE

Board Certification Certified Initial Cert. Last Cert. Expires NOT BOARD CERTIFIED

Specla!ty 1: Transplant Technician Specialty 2:

Professional Liability From To Verified Method Negative UTHSCSA MALPRACTICE 12/14/2020 12/31/2050 Limits: $100,000-$300,000 I Terms: Upon Termination

Medical/Professional Education From To Verified Method Negative University Of Notre Dam , Notre Dame, IN 08/01/2010 05/18/2014 01/15/2021 Internet N Subject: Bachelor Of Science - Biological Sciences

Employment From To Verified Method Negative

UT Health San Antonio, San Antonio, TX 12/14/2020 Present 01/15/2021 Internet N Alamo Tissue Service, San Antonio, TX 11/24/2014 05/12/2016 01/20/2021 Print N Worldwide Clinical Trials, San Antonio, TX 05/16/2016 12/14/2020 01/15/2021 Internet N

Hospital Affiliations From To Verified Method Negative University Health System, San Antonio, TX Pending 01/15/2021 Print N

Other From To Verified Method Negative GAP 06/01/2014 11/01/2014 01/20/2021 Print N Subject: Finished School, Looking For Employment.

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Cigarroa, Ricardo J., MD

Personal Information Languages:

Practice Information SECONDARY OFFICE ADDRESS UHS MARC 8300 FLOYD CURL DR SAN ANTONIO, TX 78229 Telephone: (210) 450-4888 Fax Number: (210) 450-6018

SECONDARY OFFICE ADDRESS UHS ROBERT B GREEN SURGICAL CENTER 903 W MARTIN SAN ANTONIO, TX 78207 Telephone: (210) 358-3555 Fax Number: (210) 358-5945

UH MAILING ADDRESS UNIVERSITY OF TEXAS HEALTH SCIENCE CEN 7703 FLOYD CURL DRIVE MC 7872 SAN ANTONIO, TX 78229 Telephone: (210) 567-4601 Fax Number: (210) 567-6960

UH PRIMARY OFFICE ADDRESS

UNIVERSITY HEALTH SYSTEM 4502 MEDICAL DRIVE SAN ANTONIO, TX 78229 Telephone: (210) 358-4000 Fax Number: {210) 567-6960

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment

BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: MEDICINE ID: 43278 Advancement: Division: CARDIOLOGY Data Bank: 12/18/2020 Last Reappointment: Section: CARDIOLOGY Query Results: PDS Enrollment Complete Next Appointment Status: Category:

Board Certification Certified Initial Cert. Last Cert. Expires AMERICAN BOARD OF INTERNAL MEDICINE {INTERNAL MEDICINE) CURRENT 08/07/2015 04/01/2021 AMERICAN BOARD OF INTERNAL MEDICINE (CARDIOVASCULAR DISEASE) CURRENT 10/09/2018 04/01/2021 AMERICAN BOARD OF INTERNAL MEDICINE (INTERVENTIONAL CURRENT 11/07/2019 04/01/2021 CARDIOLOGY)

Specialty 1: INTERNAL MEDICINE Specialty 2: INTERVENTIONAL CARDIOLOGY

Professional Liability From To Verified Method Negative UTHSCSA MALPRACTICE 02/08/2021 08/31/2021 Limits: 500,000.00 to 1,soo,000.00 I Terms:

Medical/Professional Education From To Verified Method Negative UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER 08/01/2008 05/29/2012 Subject: Doctor of Medicine

Training From To Verified Method Negative Internship MASSACHUSETTS GENERAL HOSPITAL 07/01/2012 06/30/2013 Subject: Internal Medicine

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Cigarroa, Ricardo J., MD

Residency MASSACHUSETTS GENERAL HOSPITAL 07/01/2013 07/01/2015 Subject: Internal Medicine Fellowship MASSACHUSETTS GENERAL HOSPITAL 07/01/2015 06/30/2018 Subject: Cardiovascular Disease Fellowship MASSACHUSETTS GENERAL HOSPITAL 07/01/2018 06/30/2019 Subject: Interventional Cardiology Fellowship MASSACHUSETTS GENERAL HOSPITAL 07/01/2019 06/30/2020 12/18/2020 Verbal N Subject: Structural lnterventional Cardiology

Employment From To Verified Method Negative UT HEALTH SAN ANTONIO, SAN ANTONIO, TX 02/08/2020 12/18/2020 Print N LAREDO CARDIOVASCULAR CONSULTANT/CIGARROA CLINIC 08/15/2020 12/18/2020 Print N MASSACHUSETTS GENERAL HOSPITAL 07/01/2015 07/30/2020 12/18/2020 Print N

Hospital Affiliations From To Verified Method Negative LAREDO MEDICAL CENTER, LAREDO, TX 08/14/2020 Present 01/04/2021 Print N UNIVERSITY HEALTH SYSTEM-SAN ANTONIO Present 12/18/2020 Print N DOCTORS HOSPITAL OF LAREDO 08/15/2020 Present 01/04/2021 Print N MASSACHUSETTS GENERAL HOSPITAL 06/14/2012 06/30/2020 12/18/2020 Internet N

Page 2 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Cosgrove, Elizabeth M., LPC

Personal Information Languages:

Practice Information SECONDARY OFFICE ADDRESS UT HEALTH PHYSICIANS UPL-BE WELL CENTER 7526 LOUIS PASTEUR SAN ANTONIKO, TX 78229 Telephone: (210) 450-6440 Fax Number: (210} 450-2104

SECONDARY OFFICE ADDRESS UT HEALTH PHYSICIANS UPL-RAPID ACCESS CLINIC 7810 LOUIS PASTEUR SAN ANTONIKO, TX 78229 Telephone: (210) 450-7222 Fax Number: (210) 450-2104

UH MAILING ADDRESS 7526 LOUIS PASTEUR SAN ANTONIO, TX 78229 Telephone: Fax Number:

UH PRIMARY OFFICE ADDRESS UT HEALTH PHYSICIANS 7526 LOUIS PASTEUR UPL-PSYCHIATRY SAN ANTONIKO, TX 78229 Telephone: (210) 450-6440 Fax Number: (210) 450-2104

UH SECONDARY ADDRESS UT HEALTH PHYSICIANS UPL-TRANSITIONAL CARE CLINIC 7526 LOUIS PASTEUR SAN ANTONIO, TX 78229 Telephone: (210) 450-6440 Fax Number: {210) 450-6440

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment

BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: PSYCHIATRY ID: 33179 Advancement: Division: Data Bank: 01/14/2021 Last Reappointment: Section: Query Results: PDS Enrollment Complete Next Appointment Status: Pending Category: CLINICAL ASSOCIATE

Board Certification Certified Initial Cert. Last Cert. Expires NOT BOARD CERTIFIED Specialty 1: LICENSED PROFESSIONAL COUNSELOR Specialty 2: Specialty 3: Specialty 4:

Professional Liability From To Verified Method Negative Chapter 104 of Texas Civil Practice and Remedies Code 11/16/2020 12/31/2050 limits: $250.00 - $500.00 I Terms: Upon Termination

Undergraduate Education From To Verified Method Negative NATIONAL UNIVERSITY, LA JOLLA, CA 06/17/2009 04/17/2011 01/08/2021 Internet N Subject: ASSOCIATE OF ARTS

NATIONAL UNIVERSITY, LA JOLLA, CA 07/06/2010 07/15/2012 01/08/2021 Internet N Subject: BACHELOR OF ARTS - Psychology

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Cosgrove, Elizabeth M., LPC

Medical/Professional Education From To Verified Method Negative TEXAS A & M • SAN ANTONIO, SAN ANTONIO, TX 08/29/2012 05/09/2015 12/23/2020 Internet N Subject: MASTER OF ARTS - COUNSELING AND GUIDANCE

Training From To Verified Method Negative Internship THE CHILDREN'S BEREAVEMENT CENTER FOR SOUTH TEXAS 05/01/2016 01/31/2018 01/05/2021 Print N Subject: COUNSELING INTERNSHIP

Employment From To Verified Method Negative UT Health San Antonio, San Antonio, TX 11/16/2020 Present 12/23/2020 Internet N Colonial Management Group, Maitland, FL 11/05/2012 05/03/2013 12/23/2020 Internet N UT Health San Antonio, San Antonio, TX 01/27/2014 11/30/2017 01/04/2021 Internet N University Of Texas San Antonio, San Antonio, TX 11/01/2017 08/02/2019 01/04/2021 Internet N Mind Works Clinical and Counseling Psychology, San Antonio, TX 06/03/2019 03/19/2020 01/14/2021 Print N Communicare Health Centers, San Antonio, TX 05/18/2020 11/14/2020 01/14/2021 Internet N

Hospital Affiliations From To Verified Method Negative University Health System, San Antonio, TX Present 01/04/2021 Print N

Other From To Verified Method Negative GAP Subject: START DATE PUSHED BACK DUE TO COVID~19 03/20/2020 05/17/2020 01/14/2021 Print N PANDEMIC.

Page 2 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Duesterhoeft, D'Ann E., MD

Personal Information Languages: ENGLISH

Practice Information UH MAILING ADDRESS 7703 Floyd Curl Drive San Antonio, TX 78229 Telephone: {210) 567-4500 Fax Number: (210) 567-0083

UH PRIMARY OFFICE ADDRESS UT HEALTH SAN ANTONIO 4502 MEDICAL DR SAN ANTONIO, TX 78229 Telephone: (210) 358-2000 Fax Number: (210) 567-0083

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment BEXAR COUNTY HOSPITAL DISTRICT Inltla! Appointment: Department: ANESTHESIOLOGY ID: 43281 Advancement: Division: ANESTHESIOLOGY Data Bank: 01/06/2021 Last Reappointment: Section: Query Results: Next Appointment Status: Pending Category:

Board Certification Certified Initial Cert. Last Cert. Expires American Board of Anesthesiology (ANESTHESIOLOGY) LIFETIME 09/30/1994 12/31/2050

Specialty 1: ANESTHESIOLOGY Specialty 2: Specialty 3: Specialty 4:

Professional Liability From To Verified Method Negative UTHSCSA MALPRACTICE 02/01/2021 08/31/2021 limits: 500,000 - 1,500,000 I Terms: Upon Termination

Medical/Professional Education From To Verified Method Negative JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE BALTIMORE, MD 09/01/1983 05/28/1987 Subject: Doctor of Medicine

Training From To Verified Method Negative Internship BARNES-JEWISH HOSPITAL/WASH UNIV. SCHL OF MED 07/01/1987 06/30/1988 Subject: General Surgery

Residency BARNES-JEWISH HOSPITAL/WASHINGTON UNIV. SCHOOL 0 07/01/1988 08/12/1991 Subject: Anesthesiology

Employment From To Verified Method Negative UT Health San Antonio, San Antonio, TX 02/01/2021 Present 01/06/2021 Memo N United Anesthesia, Inc., Parkersburg, WV 01/01/1999 12/31/2020 01/07/2021 Memo N Riverfront Anesthesia, Inc, Belpre, OH 01/01/1999 12/31/2020 01/07/2021 Memo N

Hospital Affiliations From To Verified Method Negative UH Surgery Center - Rbg Campus, San Antonio, TX Pending 01/06/2021 Memo N University Health System San Antonio, TX Pending 01/05/2021 Memo N UH Surgery Center - Medical Center San Antonio, TX Pending 01/05/2021 Memo N Ohio Valley Ambulatory Surgery Center, Belpre, OH 12/01/2015 Present 01/06/2021 Memo N St. Joseph's Hospltal, Parkersburg, WV 03/01/2011 08/01/2014 01/07/2021 Memo N Camden-Clark Memorial Hosp, Parkersburg, WV 06/10/1998 12/31/2020 01/12/2021 Email N

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile El Baage, Thar Y., MD

Personal Information Languages:

Practice Information UH MAILING ADDRESS 903 W MARTIN 2 FLOOR MS-27-2 SAN ANTONIO, TX 78207 Telephone: (210) 358-3427 Fax Number: {210) 358-5940

UH PRIMARY OFFICE ADDRESS UNIVERSITY HEALTH SYSTEM 4502 MEDICAL DRIVE SAN ANTONIO, TX 78229 Telephone: {210) 358-2015 Fax Number: (210) 358-4775

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: MEDICINE ID: 43337 Advancement: D1vlslon: PULMONARY Data Bank: 12/15/2020 Last Reappointment: Section: CRITICAL CARE Query Results: PDS Status Report Next Appointment Status: PENDING Category: UMA CONTRACT

Board Certification Certified Initial Cert. Last Cert. Expires AMERICAN BOARD OF INTERNAL MEDICINE (INTERNAL MEDICINE} CURRENT 08/19/2003 04/01/2021

AMERICAN BOARD OF INTERNAL MEDICINE/CRITICAL CARE (CRITICAL CURRENT 11/08/2006 04/01/2021 CARE MEDICINE}

Specialty 1: INTERNAL MEDICINE Specialty 2: CRITICAL CARE MEDICINE Specialty 3: Specialty 4:

Professional Liability From To Verified Method Negative PROASSURANCE SPECIALTY INSURANCE COMPANY ES1942 11/05/2020 11/05/2021 limits: 1,000,000.00 - 3,000,000.00 I Terms:

Medical/Professional Education From To Verified Method Negative BAGHDAD UNIVERSITY COLLEGE OF MEDICINE 09/01/1974 06/30/1980 Subject: Doctor of Medicine

Training From To Verified Method Negative Residency ROYAL FREE HOSPITAL SCHOOL OF MED, ENGLAND, 01/01/1981 12/31/1984 Subject: Rotationg Residency Fellowship KING FAISAL SPECIAL HOSPITAL, RIYADH, 10/01/1984 10/31/1988 Subject: Cardiology Residency ST, JOSEPH MERCY HOSPITAL, Pontiac, MI 07/01/2001 06/30/2003 Subject: Internal Medicine Fellowship WAYNE STATE UNIVERSITY, DETROIT, Ml 07/01/2003 06/30/2005 12/15/2020 Verbal N Subject: Critical Care Fellowship WAYNE STATE UNIVERSITY, DETROIT, MI 07/01/2005 06/30/2006 Subject: Critical Care

Employment From To Verified Method Negative UNIVERSITY MEDICINE ASSOCIATES, SAN ANTONIO, TX 01/04/2021 PRESENT 12/09/2020 Verbal N ENVISION PHYSICIAN SERVICES , NASHVILLE, TN 04/18/2020 PRESENT 12/11/2020 Internet N NUVIEW HEALTH, BACA RATON, Fl 03/06/2020 PRESENT 12/10/2020 Print N GOLDFISH LOCUM TENENS, 01/01/2021 PRESENT 12/11/2020 VLETE N Al MAFRAQ HOSPITAL ABUDHABI UAE, 11/01/2010 10/31/2014 12/11/2020 Print N SIDRA MEDICAL AND RESEARCH CENTER 10/01/2014 01/31/2016 12/18/2020 Print N THE DELTA COMPANIES, DALLAS, TX 03/01/2017 11/30/2017 12/09/2020 VLETR N RIVERSIDE HOSPITAL, NEWPORT NEWS, VA 01/14/2018 07/31/2018 12/10/2020 Print N MEDICUS LOCUM TENENS, VICTORIA, TX 01/18/2017 09/09/2018 12/17/2020 Print N CAMPBELL UNIVERSITY, BULES CREEK, NC 03/01/2016 01/31/2020 12/17/2020 Print N TERTIARY HOSPITAL GROUP/HAMAD MEDICAL CORP, DOHA, 01/01/2018 12/18/2020 12/18/2020 Print N

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile El Baage, Thar Y., MD

Hospital Affiliations From To Verified Method Negative UNIVERSITY HEALTH SYSTEM-SAN ANTONIO, SAN ANTONIO, TX PENDING Present 12/15/2020 Mail N VALLEY REGIONAL MEDICAL CENTER, BROWNSVILLE, TX 04/27/20 Present 12/08/2020 Internet N HCA HOUSTON HEALTHCARE MEDICAL CENTER, HOUSTON, TX 08/25/2020 Present 12/08/2020 Internet N HCA HOUSTON HEALTHCARE NORTHWEST, HOUSTON, TX 05/20/2020 Present 12/08/2020 Internet N JUPITER HOSPITAL, JUPITER, FL 08/02/2018 Present 12/08/2020 Internet N MEDCENTRAL HEALTH SYSEM, MANSFILED 07/19/2010 10/18/2010 12/08/2020 Print N ROSWELL PARK CANCER INSTITUTE, BUFFALO, NY 09/12/2011 12/06/2011 12/09/2020 Verbal N COLUMBUS REGIONAL MEDICAL CENTER, COLUMBUS, GA 08/07/2008 06/30/2012 12/10/2020 Internet N AL MAFRAQ HOSPITAL, ABU DHABI, 11/01/2010 10/31/2014 12/11/2020 Print N SIDRA MEDICAL AND RESEARCH CENTER, DOHA, 10/01/2014 01/01/2016 12/18/2020 Mail N COLISEUM HEALTH SYSTEM/ MEDICAL CENTERS, MACON, GA 09/02/2011 04/27/2016 12/08/2020 Internet N ORANGE PARK MEDICAL CENTER, ORANGE PARK, Fl 07/28/2014 07/31/2016 12/08/2020 Internet N PLANTATION GENERAL HOSPITAL, PLANTATION, FL 12/17/2014 10/19/2016 12/08/2020 Internet N SPOTSYLVANIA REGIONAL MEDICAL CENTER, FREDERICKSBURG, VA 03/30/2012 01/18/2017 12/08/2020 Internet N DOCTORS HOSPITAL OF AGUSTA, AUGUSTA, GA 07/13/2016 01/27/2017 12/08/2020 Internet N CENTENNIAL MEDICAL CENTER, NASHVILLE, TN 10/19/2016 01/30/2017 12/08/2020 Internet N HCA HOUSTON HEALTHCARE SOUTHEAST, PASADENA, TX 01/30/2017 01/30/2017 12/08/2020 Internet N MEDICAL CENTER TRINITY, TRINITY, Fl 09/22/2016 02/09/2017 12/08/2020 Internet N OAK HILL HOSPITAL, BROOKSVILLE, FL 03/24/2016 02/16/2017 12/08/2020 Internet N WESTSIDE REGIONAL MEDICAL CENTER, FORT LAUDERDALE, Fl 08/07/2014 04/06/2017 12/08/2020 Internet N BRANDON REGIONAL HOSPITAL, BRANDON, FL 02/01/2016 05/01/2017 12/08/2020 Internet N WESLEY MEDICAL CENTER, WICHITA, KS 07/21/2016 10/25/2017 12/08/2020 Internet N 12/10/2020 Internet N MARYVIEW MEDICAL CENTER I PORTSMOUTH, VA 06/02/2017 12/01/2017 BON SECOURS - DEPAUL MEDICAL CENTER, NORFOLK, VA 05/01/2017 12/01/2017 12/10/2020 Internet N MARY IMMACULATE HOSPITAL, NEWPORT NEWS, VA 03/13/2017 01/01/2018 12/11/2020 Internet N SOUTHEASTERN REGIONAL MEDICAL CENTER, LUMBERTON, NC 12/03/2015 06/20/2018 12/09/2020 Print N RIVERSIDE HOSPITAL, NEWPORT NEWS, VA 05/15/2017 07/31/2018 12/08/2020 Internet N VALLEY BAPTIST MEDICAL CENTER, HARLINGEN, TX 04/13/2018 05/31/2019 12/17/2020 Internet N TERTIARY HOSPITAL GROUP/HAMAD MEDICAL GROUP, DOHA, 01/01/2018 12/18/2020 12/18/2020 Mail N

Other From To Verified Method Negative GAP Subject: Private medical work local Involvement 05/01/1998 05/01/2000

Teaching From To Verified Method Negative WEILL CORNELL MEDICINE - QATAR, DOHA QATAR, 11/15/2018 PRESENT 12/09/2020 Verbal N WEILL CORNELL MEDICINE - QATAR, DOHA QATAR, 01/25/2015 12/31/2015 12/09/2020 VERBL N

Page 2 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Finley, Brittany N., RD

Personal Information Languages:

Practice Information UH MAILING ADDRESS MEDICINE/DIABETES 7703 FLOYD CURL DR MC 7886 SAN ANTONIO, TX 78229 Telephone: (210) 567-6691 Fax Number:

UH PRIMARY OFFICE ADDRESS 4502 MEDICAL SAN ANTONIO, TX 78229 Telephone: (210) 358-4000 Fax Number: (210) 567-4670

Licensure Number State Expires Comments/Schedule STATE LICENSE GA

Appointment

BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: MEDICINE ID: 43305 Advancement: Division: DIABETES Data Bank: 11/25/2020 Last Reappointment: Section: DIABETES Query Results: PDS Status

Board Certification Certified Initial Cert. Last Cert. Expires COMMISSION ON DIETETIC REGISTRATION OF THE ADA {REGISTERED CURRENT 12/22/2015 08/31/2021 DIETITIAN) COMMISSION ON DIETETIC REGISTRATION OF THE ADA {NUTRITION) CURRENT 03/01/2018 03/31/2023

Specialty 1: REGISTERED DIETITIAN Specialty 2: Specialty 3: Specialty 4:

Professional Liability From To Verified Method Negative CHAPTERS 101, 104, 108 0 F TEXAS CIVIL PRACTICE AND REMEDIES 10/26/2020 12/31/2050 Limits: 100,000 TO 300,000 I Terms:

Undergraduate Education From To Verified Method Negative Life University, Marietta, GA 10/03/2011 06/24/2014 11/10/2020 N Subject: Bachelor ofScience Dietetics

Medical/Professional Education From To Verified Method Negative Life University, Marietta, GA 09/01/2019 11/10/2020 N Subject: Currently Enrolled for MS in Psychology

Employment From To Verified Method Negative Carl Darnall Army Medical Center, Fort Hod, TX 04/16/2018 11/10/2020 Print N UT HEALTH SAN ANTONIO, San Antonio, TX 10/26/2020 11/10/2020 Print N COLUMBUS TECHNICAL COLLEGE, COLUMBUS , GA 05/01/2015 05/31/2016 11/10/2020 Print N MORRISON HEALTH, ATLANTA, GA 03/01/2015 09/30/2016 11/16/2020 Print N JOHN B CANCER CENTER, COLUMBUS , GA 09/12/2016 11/10/2017 11/16/2020 Print N BAYLOR SCOTT & WHITE 01/15/2018 03/27/2018 11/10/2020 Print N

Hospital Affiliations From To Verified Method Negative UNIVERSITY HEALTH SYSTEM-SAN ANTONIO, SAN ANTONIO, TX Present 11/24/2020 N CARL R. DARNALL ARMY CENTER, FT HOOD, TX 03/02/2018 Present 11/23/2020 Print N

Other From To Verified Method Negative GAP Subject: Military move with spouse 08/01/2020 10/15/2020 11/10/2020 Print N

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Garza, Tabatha A., FNP-BC

Personal Information Languages: ENGLISH

Practice Information UH MAILING ADDRESS 4502 MEDICAL DR SAN ANTONIO, TX 78229 Telephone: (210) 358-2277 Fax Number: (210} 358-8850

UH PRIMARY OFFICE ADDRESS UNIVERSITY HEALTH SYSTEM 4502 MEDICAL DR EMPLOYEE HEALTH CLINIC SAN ANTONIO, TX 78229 Telephone: (210) 358-2277 Fax Number: (210) 358-8850

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment

BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: FAMILY & COMMUNITY MEDICINE ID: 43338 Advancement: Division: FAMILY MEDICINE Data Bank: 01/06/2021 Last Reappointment: Section: Query Results: Complete 0 report(s) found. Next Appointment 03/31/2021 Status: EMERGENCY PRIVILEGES Category: UH EMPLOYEE

.lloard Certification Certified Initial Cert. Last Cert. Expires 'AMERICAN NURSES CREDENTIALING CENTER {FAMILY NURSE CURRENT 07/13/2018 07/12/2023 PRACTITIONER)

Specialty 1: FAMILY NURSE PRACTITIONER Speclalty 2:

Professional Liability From To Verified Method Negative BERHSHIRE HATHAWAY SPECIALTY INSURANCE CO 08/13/2020 08/13/2021 47-QAA-004177-03 Limits: 1,000,000/6,000,000 l Terms:

Undergraduate Education From To Verified Method Negative UNIVERSITY OF TEXAS AT PAN AMERICAN, EDINBURG, TX 08/31/2009 05/10/2014 12/07/2020 Internet N Subject: BACHELOR OF SCIENCE IN NURSING

Medical/Professional Education From To Verified Method Negative UNIVERSITY OF TEXAS AT PAN AMERICAN , EDINBURG, TX 08/31/2015 05/12/2018 12/07/2020 Internet N Subject: MASTER OF SCIENCE IN NURSING

Employment From To Verified Method Negative UNIVERSITY HEALTH SYSTEM 12/20/2020 12/09/2020 Email N Family Medical Center, Edinburg, TX 08/13/2018 01/05/2021 Print N KNAPP MEDICAL CENTER , Weslaco, TX 06/09/2014 08/28/2017 12/09/2020 Print N

Hospital Affiliations From To Verified Method Negative UNIVERSITY HEALTH SYSTEM , SAN ANTONIO, TX Present 12/09/2020 Print N Subject:

Other From To Verified Method Negative GAP Subject: STUDYING FOR EXAM THEN AFTER TAKING 05/10/2014 06/08/2014 01/06/2021 Print N NCLEX/WAITING FOR HIRING PROCESS, GAP Subject: STUDYING FOR BOARD CERTIFIACTION/JOB 05/12/2018 08/12/2018 01/06/2021 Print N SEARCH/PENDING START DTAE WITH DR. NASSIR

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Gibney, Richard L., MD

Personal Information Languages:

Practice Information UH MAILING ADDRESS UT HEALTH SAN ANTONIO 7703 Floyd Curl Drive, Medicine/Nephrology, MC 7882 SAN ANTONIO, TX 78229 Telephone: (210) 567-4700 Fax Number: (210) 567-4712

UH PRIMARY OFFICE ADDRESS UT HEALTH 701 S. ZARZAMORA STREET SAN ANTONIO, TX 78207 Telephone: {210} 358-7300 Fax Number: {210) 358-7328

UH SECONDARY ADDRESS UT HEALTH SAN ANTONIO 8300 Floyd Cur! Drive SAN ANTONIO, TX 78229 Telephone: (210) 450-9800 Fax Number: (210) 450-6073

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: MEDICINE ID: 43347 Advancement: Division: NEPHROLOGY Data Bank: 12/23/2020 Last Reappointment: Section: NEPHROLOGY Query Results: PDS Status Report Next Appointment Status: PENDING Category:

Board Certification Certified Initial Cert. Last Cert. Expires AMERICAN BOARD OF INTERNAL MEDICINE (INTERNAL MEDICINE) LIFETIME 06/18/1975 AMERICAN BOARD OF INTERNAL MEDICINE/NEPHROLOGY LIFETIME 06/27/1978

Specialty 1: NEPHROLOGY Specialty 2: INTERNAL MEDICINE

Professional Liability From To Verified Method Negative UTHSCSA MALPRACTICE 02/01/2021 08/31/2021 Limits: 500,000 - 1,500,000 I Terms: Upon Termination

Medical/Professional Education From To Verified Method Negative Creighton University (Medical School of Omaha), Omaha, NE 06/01/1968 06/01/1972 Subject: Doctor of Medicine

Training From To Verified Method Negative Internship The Univ of Texas Health Science Center at San Antonio 06/01/1972 06/30/1973 Subject: Internal Medicine Residency Sepulveda VA Medical Center, Sepulveda, CA 07/02/1973 06/30/1974 Subject: Internal Medicine Residency The Unlv of Texas Health Science Center at San Antonio 07/01/1974 06/30/1977 12/16/2020 Memo to N Subject: Medicine, Renal Disease (Nephro/ogy) File

Employment From To Verified Method Negative Empowered Kidney Care, Waco, TX 04/02/2019 PRESENT 12/17/2020 Memo N UT Health San Antonio, San Antonio, TX 02/01/2021 PRESENT 12/16/2020 Mem N Central Texas Nephrology Associates, Waco, TX 07/01/1977 04/01/2019 12/16/2020 Memo N

Hospital Affiliations From To Verified Method Negative University Health System San Antonio, TX Pending 12/16/2020 Memo N Ascension Providence, Waco, TX 06/09/1977 04/20/2020 12/16/2020 On Une N Baylor Scott & White Hillcrest Medical Center 07/01/1977 04/30/2020 12/16/2020 Memo N

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Hager, Brittany N., RA

Personal Information Languages:

Practice Information UH MAILING ADDRESS UT HEALTH SAN ANTONIO 7703 FLOYD CURL DRIVE, MC7882 MEDICINE/ NEPHROLOGY SAN ANTONIO, TX 78229 Telephone: {210) 450-8926 Fax Number: (210) 416-2560

UH PRIMARY OFFICE ADDRESS UT HEALTH SAN ANTONIO 8300 FLOYD CURL DRIVE MEDICAL ARTS RESEARCH CENTER SAN ANTONIO, TX 78229 Telephone: (210} 450-9800 Fax Number: {210) 450-4936

Licensure Number State Expires Comments/Schedule None

Appointment

BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: MEDICINE ID: 43298 Advancement: Division: NEPHROLOGY Data Bank: 11/25/2020 Last Reappointment: Section: NEPHROLOGY Query Results: PDS Status Report

Board Certification Certified Initial Cert. Last Cert. Expires NOT BOARD CERTIFIED (NOT BOARD CERTIFIED)

Specialty 1: RESEARCH ASSOCIATE Specialty 2:

Professional Liability From To Verified Method Negative CHAPTERS 101, 104, 108 0 F TEXAS CIVIL PRACTICE AND REMEDIES 09/01/2020 12/31/2050 Limits: 100,000. - 300,000. UT ! Terms:

Undergraduate Education From To Verified Method Negative UNIVERSITY OF THE INCARNATE WORD 08/18/2014 05/11/2018 11/24/2020 Degree N Subject: BACHELOR OF ARTS - Psychology Verify

Employment From To Verified Method Negative University of Texas Health Science Center, San Antonio, TX 12/11/2019 11/24/2020 On Line N BEXAR COUNTY ADULT PROBABTION 10/01/2015 05/31/2018 12/10/2020 Fax N

Hospital Affiliations From To Verified Method Negative UNIVERSITY HEALTH SYSTEM-SAN ANTONIO, SAN ANTONIO, TX Present 11/24/2020 Memo to N File

Other From To Verified Method Negative Sea World Parks and Entertainment, San Antonio, TX 01/01/2016 09/01/2018 11/24/2020 Memo to N Subject: MEMO ON FILE - NON- RESEARCH RELATED File

GAP Subject: Sea World summer season had ended and for the 09/01/2018 01/01/2019 meantime, I worked as a stylist at David's Bridal for Vision Works, San Antonio, TX 01/01/2019 12/10/2019 11/24/2020 Memo to N Subject: MEMO ON FILE - NON- RESEARCH RELATED File

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Holder, Amy D., MD

Personal Information Languages:

Practice Information UH PRIMARY OFFICE ADDRESS UT HEALTH PHYSICIANS 4502 Medical Drive SAN ANTONIKO, TX 78229 Telephone: (210) 358-2015 Fax Number: (210) 358-4775 NPI: 1720051717 Medicare: 00T156 Medicaid: 085144601 Tax ID: 74-1586031

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment

BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: PEDIATRICS ID: 18712 Advancement: Division: CRITICAL CARE Data Bank: 01/05/2021 Last Reappointment: Section: CRITICAL CARE Query Results: Next Appointment Status: Category:

Board Certification Certified Initial Cert. Last Cert. Expires AMERICAN BOARD OF PEDIATRIC CRITICAL CARE {PEDIATRIC CURRENT 11/17/2008 01/01/2016 02/15/2021 CRITICAL CARE}

Speclalty 1: PEDIATRIC CRITICAL CARE Specialty 2: PEDIATRICS

Professional Liability From To Verified Method Negative UTHSCSA MALPRACTICE 02/01/2021 08/31/2021 Limits: 500,000 - 1,500,000 I Terms:

Medical/Professional Education From To Verified Method Negative UNIVERSITY OF BUFFALO SCHOOL OF MEDICINE, BUFFALO, NY 08/17/1998 06/01/2002 01/06/2021 Fax N Subject: Doctor of Medicine

Training From To Verified Method Negative Internship CHILDREN'S HOSPITAL OF BUFFALO 07/01/2002 06/30/2003 12/18/2020 Email N Subject: Pediatrics Residency UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER 07/01/2003 06/30/2005 12/17/2020 Memo to N Subject: Pediatrics File Fellowship UNIVERSITY OF TEXAS HEAL TH SCIENCE CENTER 07/01/2005 06/30/2008 11/13/2006 VLETR N Subject: Pediatric Critical Care

Employment From To Verified Method Negative UT HEALTH DEPARTMENT OF PEDIATRICS, SAN ANTONIO, TX 02/05/2021 01/05/2021 Memo N Pediatrix / Mednax Health Solutions, San Antonio, TX 01/07/2020 12/17/2020 On Line N METHODIST CHILDREN'S HOSPITAL OF SOUTH TEXAS 07/01/2008 12/31/2019 01/07/2021 Memo N

Hospital Affiliations From To Verified Method Negative CHILDREN'S HOSPITAL OF SAN ANTONIO, SAN ANTONIO, TX 03/15/2020 Present 12/17/2020 On Line N UNIVERSITY HEALTH SYSTEM , SAN ANTONIO, TX Present 12/17/2020 Memo N METHODIST CHILDREN'S HOSPITAL OF SOUTH TEXAS 07/17/2008 Present 12/17/2020 On Line N

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile HUSSAIN, NIDA, MD

Personal Information Languages:

Practice Information UH MAILING ADDRESS 903 W MARTIN 2 FLOOR MS-27-2 SAN ANTONIO, TX 78207 Telephone: (210) 358-3427 Fax Number: (210) 358-5940

UH PRIMARY OFFICE ADDRESS UNIVERSITY MEDICINE ASSOCIATES UNIVERSITY FAMILY HEALTH CENTER SOUTHWEST 2121 SOUTHWEST 36TH SAN ANTONIO, TX 78237 Telephone: (210} 358-5100 Fax Number: (210) 358-5157

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: FAMILY & COMMUNITY ID: 40166 MEDICINE Advancement: Division: Data Bank: 01/13/2021 Last Reappointment: Section: Query Results: Next Appointment Status: PENDING Category: UMA FULL TIME

Board Certification Certified Initial Cert. Last Cert. Expires AMERICAN BOARD OF FAMILY MEDICINE (FAMILY MEDICINE) CURRENT 10/01/2020 02/15/2021

Specialty 1: FAMILY MEDICINE Specialty 2:

Professional Liability From To Verified Method Negative UTHSCSA MALPRACTICE 02/01/2021 08/31/2021 limits: 500,000.00 to 1,500,000.00 I Terms: Upon Termination

Medical/Professional Education From To Verified Method Negative ROSS UNIVERSITY SCHOOL OF MEDICINE - FLORIDA 05/31/2016 Subject: Doctor of Medicine

Training From To Verified Method Negative Residency UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER 07/01/2017 06/30/2020 Subject: Family Medicine

Employment From To Verified Method Negative COMMUNITY MEDICAL ASSOCIATES, SAN ANTONIO, TX 02/01/2021 Present 01/13/2021 Print N CASA DE SALUD, LOS ANGELES, CA 10/26/2016 05/11/2017 01/12/2021 Print N

Hospital Affiliations From To Verified Method Negative UNIVERSITY HEALTH SYSTEM-SAN ANTONIO, SAN ANTONIO, TX Pending 01/06/2021 Print N

Other From To Verified Method Negative GAP Subject: Took time off in Cedar Park Texas 06/25/2016 10/25/2016 01/15/2021 Print N GAP Subject: Took time off to move 05/12/2017 06/30/2017 01/15/2021 Print N GAP Subject: Waiting for llcense and getting credentiaflng 07/01/2020 01/31/2021 01/12/2021 Print N

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Kirk, Cynthia, RN

Personal Information Languages:

Practice Information SECONDARY OFFICE ADDRESS UNIVERSITY HEALTH SYSTEM 4505 Medical Dr SAN ANTONIO, TX 78229 Telephone: (210) 358-4000 Fax Number: (210) 358-4775

UH MAILING ADDRESS CANCER THERAPY & RESEARCH CENTER 7979 WURZBACH ROAD SAN ANTONIO, TX 78229 Telephone: Fax Number:

UH PRIMARY OFFICE ADDRESS CANCER THERAPY & RESEARCH CENTER 7979 WURZBACH ROAD SAN ANTONIO, TX 78229

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment

BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: MEDICINE ID: 43242 Advancement: Division: HEMATOLOGY & Data Bank: 11/25/2020 ONCOLOGY

Board Certification Certified Initial Cert. Last Cert. Expires NOT BOARD CERTIFIED (NOT BOARD CERTIFIED)

Specialty 1: REGISTERED NURSE Specialty 2:

Professional Liability From To Verified Method Negative University of Texas Health System 04/01/2019 12/31/2050 Limits: 500,000.00 to 1,500,000.00 I Terms:

Medical/Professional Education From To Verified Method Negative GRAND CANYON UNIVERSITY , PHOENIX, AZ 09/01/2014 11/06/2016 11/24/2020 N Subject: Bachelor of Science in Nursing

Employment From To Verified Method Negative NORTHEAST BAPTIST HOSPITAL 12/05/2016 11/24/2020 Internet N UT HEALTH SAN ANTONID 04/01/2019 11/25/2020 Print N METHODIST HOSPITAL 08/27/2012 04/22/2014 12/03/2020 Internet N University Hospital 07/18/2008 03/25/2016 12/07/2020 Print N Grace Hospice, San Antonio, TX 02/16/2015 12/10/2016 11/24/2020 Print N

Hospital Affiliations From To Verified Method Negative UNIVERSITY HEALTH SYSTEM-SAN ANTONIO , SAN ANTONIO, TX Present 11/24/2020 Print N

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Lavin, Nicole L., DNP

Personal Information Languages: ENGLISH

Practice Information Office 7703 Floyd Curl Drive MSC 7814 San Antonio, TX 78229 Telephone: {210) 562-5858 Fax Number: (210) 567-7595

UH MAILING ADDRESS UT HEALTH SAN ANTONIO 7703 Floyd Curl Drive, MSC 7814 SAN ANTONIO, TX 78229 Telephone: (210) 562-5858 Fax Number: (210) 567-7595

UH PRIMARY OFFICE ADDRESS UT HEALTH SAN ANTONIO 7703 Floyd Curl Drive, MSC 7814 SAN ANTONIO, TX 78229 Telephone: (210) 562-5858 Fax Number: {210) 567-7595

Licensure Number State Expires Comments/Schedule STATE LICENSE TX STATE LICENSE TX

Appointment

BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: PEDIATRICS ID: 43155 Advancement: Division: PEDIATRICS - Data Bank: 12/18/2020 NEUROLOGY Last Reappointment: Section: Query Results: PDS Status Report Next Appointment Status: Category:

Board Certification Certified Initial Cert. Last Cert. Expires PEDIATRIC NURSING CERTIFICATION BOARD (PEDIATRIC NURSE Y (Archived) 03/26/2007 02/28/2020 02/28/2021 PRACTITIONER)

Specialty 1: PEDIATRIC NURSE PRACTITIONER Specialty 2: Specialty 3: Specialty 4:

Professional Liability From To Verified Method Negative Chapter 104 of Texas Civil Practice and Remedies Code 10/19/2020 08/31/2021 N/A Limits: 100,000/300,000 I Terms:

Undergraduate Education From To Verified Method Negative ROCKHURST UNIVERSITY, KANSAS CITY, MO 08/24/1994 05/16/1999 12/11/2020 N Subject: Bachelor ofArts¥Psychology ROCKHURST UNIVERSITY, KANSAS CITY, MO 08/24/1994 05/16/1999 12/15/2020 N Subject: Bachelor ofScience~Nursing

Medical/Professional Education From To Verified Method Negative SAINT LOUIS UNIVERSITY, ST. LOUIS, MO 08/20/2004 01/05/2007 12/11/2020 N Subject: MSN, PNP VANDERBILT UNIVERSITY, NASHVILLE, TN 08/13/2012 05/09/2014 12/11/2020 N Subject: Doctor of Nursing Practice

Employment From To Verified Method Negative UT HEALTH SAN ANTONIO , SAN ANTONIO, TX 02/01/2021 12/15/2020 Memo N Children's National Medical Center, Washington, DC 08/25/2008 07/28/2012 12/15/2020 Memo N Children's National Medical Center, Washington, DC 02/19/2013 04/24/2016 12/17/2020 Emal! N

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Lavin, Nicole L., DNP

CHILDREN'S HOSPITAL OF SAN ANTONIO 06/22/2015 07/06/2019 12/15/2020 On line N CHILDREN'S MERCY HOSPITAL , KANSAS CITY, MO 08/12/2019 10/08/2019 12/15/2020 On line N

Hospital Affiliations From To Verified Method Negative UNIVERSITY HEALTH SYSTEM , SAN ANTONIO, TX Present 12/11/2020 Memo to N File

Other From To Verified Method Negative GAP Subject: Unemployed since leaving Children's Mercy 07/11/2020 01/05/2021 Memo N Hospital, Waiting to start employment with UT. GAP Subject: Husband deployed moved to Germany, 12/20/2002 07/28/2003 12/15/2020 Memo N GAP Subject: Took time away from employment to concentrate on 07/27/2012 01/12/2015 12/15/2020 Memo N DPN degree. GAP Subject: Waiting for Kansas license to start employment. 07/05/2019 08/12/2019 12/15/2020 Memo to N File GAP Subject: Not able to find NP jobs open after leaving last job. 10/08/2019 07/10/2020 12/15/2020 Memo to N Stopped search to care for father. File

Teaching From To Verified Method Negative Thomas Nelson Community College, College of Nursing, Hampton, VA 01/20/2015 07/26/2016 12/18/2020 Memo to N Subject: Adjunct File

Page 2 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT Provider Profile MATOS, RENEE I., MD

Personal Information Languages: ENGLISH

Practice Information UH MAILING ADDRESS UT HEALTH SAN ANTONIO 7703 FLOYD CURL DR MC 7829 SAN ANTONIO, TX 78229 Telephone: (210) 562-5816 Fax Number: (210) 567-7555

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment

BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: PEDIATRICS ID: 21015 Advancement: Division: CRITICAL CARE Data Bank: 12/23/2020 Last Reappointment: Section: Query Results: PDS Enrollment Complete

Board Certification Certified Initial Cert. Last Cert. Expires AMERICAN BOARD OF PEDIATRICS (PEDIATRICS) CURRENT 01/01/2016 02/15/2021 AMERICAN BOARD OF PEDIATRICS (PEDIATRIC CRITICAL CURRENT 11/15/2018 02/15/2021 CARE)

Specialty 1: PEDIATRIC CRITICAL CARE Specialty 2: PEDIATRICS Specialty 3: Specialty 4:

Professional Liability From To Verified Method Negative University of Texas System Professional Liability Insurance Coverage 12/15/2020 08/31/2021 Limits: $500,000.00/$1,500.000.00 I Terms:

Medical/Professional Education From To Verified Method Negative UNIVERSITY OF CALIFORNIA, SAN FRANCISCO 09/10/2001 06/01/2005 Subject: Doctor of Medicine UNIVERSITY OF PITTSBURGH GRADUATE SCHOOL OF PUBLIC HEALTH 08/30/2010 04/28/2012 12/23/2020 National N Subject: Masters of Public Health Student Clearing House Training From To Verified Method Negative Residency SAN ANTONIO UNIFORMED SERVICES-HEALTH EDUCATION 07/01/2005 06/30/2008 Subject: Pediatric Fellowship UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE 07/01/2009 06/30/2012 Subject: Pediatric Critical Care

Employment From To Verified Method Negative UT HEALTH SAN ANTONIO, SAN ANTONIO, TX 12/15/2020 12/21/2020 Print N UNIFORMED SERVICE HEALTH SCIENCE CENTER 10/20/2013 01/04/2021 Print N

Hospital Affiliations From To Verified Method Negative METHODIST CHILDREN'S HOSPITAL OF SOUTH 12/17/2020 Present 12/22/2020 Internet N BROOKE ARMY MEDICAL CENTER-FORT SAM 08/10/2012 Present 01/04/2021 Print N DELL CHILDREN'S MEDICAL CENTER, AUSTIN, TX 05/09/2019 Present 12/23/2020 Internet N University Health System, San Antonio, TX Present 12/22/2020 Print N WILFORD HALL MEDICAL CENTER , LACKLAND AFB, TX 07/01/2008 06/30/2009 01/08/2021 VERBL N Moncks Corner Medical Center part of Trident Hea Ith System 12/05/2014 04/23/2015 12/23/2020 Internet N TRIDENT MEDICAL CENTER, CHARLESTON, SC 12/05/2014 04/23/2015 12/23/2020 Internet N Summerville Medical Center, Summerville, SC 12/05/2014 04/23/2015 12/23/2020 Print N NISWONGER CHILDRENS HOSPITAL, JOHNSON CITY, TN 08/01/2014 01/04/2016 12/23/2020 Prlnt N JOHNSON CITY MEDICAL CTR., Johnson City, TN 08/01/2014 01/04/2016 12/23/2020 Verbal N BAPTIST HEALTH SYSTEM - SAN ANTONIO , SAN ANTONIO, 11/21/2014 05/31/2016 12/23/2020 Internet N BAPTIST ST ANTHONY$ HOSPITAL AND HEALTH SYSTEM 06/13/2018 06/30/2018 12/23/2020 Internet N TRIPLER ARMY MEDICAL CENTER , HONOLULU, HI 07/03/2018 07/16/2018 01/05/2021 Print N UCSF COMMUNITY REGIONAL MEDICAL CENTER, Fresno, CA 12/15/2016 04/24/2019 01/08/2021 VLETF N PENN STATE UNIV-MILTON 5. HERSHEY , Hershey, PA 09/12/2014 12/22/2020 01/04/2021 Print N

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Meekins, Jo Ann, RA, RN

Personal Information Languages:

Practice Information UH MAILING ADDRESS 7979 WURZBACH RD SAN ANTONIO, TX 78229 Telephone: (210) 450-2872 Fax Number: {210) 692-7502

UH PRIMARY OFFICE ADDRESS HEMATOLOGY/ ONCOLOGY 7979 WURZBACH ROAD SAN ANTONIO, TX 78229 Telephone: (210) 450-2872 Fax Number: (210) 692-7502

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment

BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: MEDICINE ID: 42790 Advancement: Division: HEMATOLOGY & Data Bank: 12/18/2020 MEDICAL ONCOLOGY Last Reappointment: Section: Query Results: PDS Status Report

Board Certification Certified Initial Cert. Last Cert. Expires NOT BOARD CERTIFIED ()

Specialty 1: RESEARCH ASSOCIATE Specialty 2:

Professional Liability From To Verified Method Negative

Undergraduate Education From To Verified Method Negative Baptist School of Health Professions, San Antonio, TX 07/08/1992 06/02/1994 12/11/2020 Print N Subject: DIPLOMA - NURSING UNIVERSITY OF PHOENIX 09/05/2002 04/30/2005 Subject: BACHELOR OF SCIENCE IN NURSING

Employment From To Verified Method Negative UT HEALTH SAN ANTONIO, SAN ANTONIO, TX 10/01/2018 12/01/2020 Internet N BAPTIST HEALTH CARE SYSTEM 06/01/1994 09/01/1995 METHODIST HEALTCARE SYSTEM 09/05/1995 11/09/2017 12/01/2020 Internet N Syneos Health US, INC, Morrisville, NC 02/26/2018 10/10/2018 12/08/2020 Internet N

Hospital Affiliations From To Verified Method Negative UNIVERSITY HEALTH SYSTEM , SAN ANTONIO, TX Present 11/30/2020 Print N

Other From To Verified Method Negative GAP Subject: LAID OFF FROM METHODIST AND LOOKING FOR A 11/10/2017 02/25/2018 12/15/2020 Print N JOB.

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Neumayer, Katie E., DO

Personal Information Languages: ENGLISH

Practice Information UH MAILING ADDRESS DEPARTMENT OF PEDIATRICS 7703 FLOYD CURL DRIVE, MSC7803 SAN ANTONIO, TX 78229 Telephone: (210) 567-5200 Fax Number: {210} 567-6921

UH PRIMARY OFFICE ADDRESS UHS 4502 MEDICAL SAN ANTONIO, TX 78229 Telephone: {210) 358-2015 Fax Number: {210} 358-4775

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: PEDIATRICS ID: 43217 Advancement: Division: CRITICAL CARE Data Bank: 12/23/2020 Last Reappointment: Section: CRITICAL CARE Query Results: PDS Enrollment Complete Next Appointment Status: Pending Category:

Board Certification Certified Initial Cert, Last Cert. Expires AMERICAN BOARD OF PEDIATRIC CRITICAL CARE CURRENT 02/15/2022 AMERICAN BOARD OF PEDIATRICS (PEDIATRICS} CURRENT 10/20/2016 02/15/2021

Specialty 1: PEDIATRICS Specialty 2: PEDIATRIC CRITICAL CARE Specialty 3: Specialty 4:

Professional Liability From To Verified Method Negative University of Texas System Professional Uabll!ty Insurance Coverage 02/15/2021 08/31/2021 Limits: $500,000.00/$1,S00.000.00 I Terms: Upon Termination

Medical/Professional Education From To Verified Method Negative ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE 07/01/2009 05/18/2013 Subject: Doctor of Osteopathic Medicine

Training From To Verified Method Negative Internship MADIGAN ARMY MEDICAL CENTER 07/01/2013 06/30/2014 Subject: Pediatrics Residency MADIGAN ARMY MEDICAL CENTER 07/01/2014 06/30/2016 Subject: Pediatrics Fellowship UNIVERSITY OF UTAH, SALT LAKE CITY, UT 07/01/2016 06/30/2019 Subject: Pediatric Critical Care

Employment From To Verified Method Negative University Of Texas Health Science Center-Sa, San Antonio, TX 02/15/2021 Present 12/22/2020 Print N

Hospital Affiliations From To Verified Method Negative Brooke Army Medical Center-Fort Sam, Fort Sam Houston, TX 07/10/2019 Present 01/04/2021 Print N University Hospltal, San Antonio, TX Pending 12/22/2020 Print N

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Ramirez, Mercedes E., RA, MD

Personal Information Languages: ENGLISH

Practice Information UH MAILING ADDRESS UT HEALTH SAN ANTONIO 7703 FLOYD CURL DR. Dept. of Psychiatry SAN ANTONIO, TX 78229 Telephone: (210) 450-5377 Fax Number: (210) 567-5677

UH PRIMARY OFFICE ADDRESS UT HEALTH SAN ANTONIO 4502 MEDICAL DR UHS PEDIATRIC TRAUMA/ PEDIATRIC ER SAN ANTONIO, TX 78229 Telephone: (210) 450-5377 Fax Number:

Licensure Number State Expires Comments/Schedule None

Appointment

BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: PSYCHIATRY ID: 43194 Advancement: Division: Data Bank: 12/09/2020 Last Reappointment: Section: Query Results: Next Appointment Status: Category: RESEARCH ASSOCIATE

Board Certification Certified Initial Cert. Last Cert. Expires NOT BOARD CERTIFIED (NOT BOARD CERTIFIED)

Specialty 1: RESEARCH ASSOCIATE Specialty 2:

Professional Liability From To Verified Method Negative CHAPTERS 101, 104, 108 0 F TEXAS CIVIL PRACTICE AND REMEDIES 03/18/2019 12/31/2050 Limits: 100,000. - 300,000. I Terms:

Undergraduate Education From To Verified Method Negative Long Island University 08/01/1972 10/15/1977

Medical/Professional Education From To Verified Method Negative LONG ISLAND UNIVERSITY - POST CAMPUS 08/01/1978 08/10/1980 Subject; Health Care Administration Universidad Autonoma de Cludad Juarez, , 08/01/1981 02/19/1987 Subject: Doctor of Medicine

Training From To Verified Method Negative Residency University of Texas Med!cal Branch at Galveston, Galveston, 07/01/1994 09/30/1997 Subject: Psychiatry Residency University of Texas Medical Branch at Galveston, Galveston, 09/27/1997 09/26/1999 Subject: Child and Adolescent Psychiatry Fellowship University of Texas Medical Branch at Galveston, Galveston, 09/27/1999 09/26/2001 12/11/2020 Email N Subject: Psychiatry-Psychopharmacology Fellowship Long School of Medicine, UT Health San Antonio 01/05/2002 06/01/2006 12/18/2020 Memo to N Subject: Psychiatric Genetics File

Employment From To Verified Method Negative UTHSCSA, San Antonio, TX 03/18/2019 12/03/2020 Onllne N Texas Tech University Health Sciences Center- Paul L. Foster School of 02/01/2010 09/30/2017 12/09/2020 Memo N Medicine, EL PASO, TX

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Ramirez, Mercedes E., RA, MD

Hospital Affiliations From To Verified Method Negative UNIVERSITY HEALTH SYSTEM-SAN ANTONIO Present 12/03/2020 Memo N AUDIE L. MURPHY MEMORIAL VA HOSPITAL, SAN ANTONIO, TX 06/04/2019 Present 12/16/2020 Email N

Other From To Verified Method Negative GAP Subject: Continued with my Psychiatric Genetics Fellowship 09/01/2001 01/31/2002 12/11/2020 Memo to N at UTHSCSA File GAP Subject: Mother diagnosed with a progressive neurological 08/31/2017 03/16/2019 12/03/2020 Memo to N disorder. I retired to take care of her, File

Teaching From To Verified Method Negative UTHSCSA, San Antonio, TX 01/06/2002 06/01/2006 Subject: Psychiatric Genetics - Research Fellow UTHSCSA, San Antonio, TX 01/03/2002 01/06/2010 Subject: Assistant Professor-Research

Page 2 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT Provider Profile Schaab, Tara J., MD

Personal Information Languages:

Practice Information UH MAILING ADDRESS UT HEALTH SAN ANTONIO 7703 FLOYD CURL DR MC 6230 SAN ANTONIO, TX 78229 Telephone: (210) 567-8403 Fax Number: (210) 567-8413

UH PRIMARY OFFICE ADDRESS UT HEALTH SAN ANTONIO 8300 FLOYD CURL DR. 6TH FLOOR - 6A MARC - OPHTHALMOLOGY SAN ANTONIO, TX 78229 Telephone: (210) 450-9407 Fax Number: {210) 450-6024

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: OPHTHALMOLOGY ID: 43369 Advancement: Division: OPHTHALMOLOGY Data Bank: 12/28/2020 Last Reappointment: Section: Query Results: PDS Status Report Next Appointment Status: Pending Category:

Board Certification Certified Initial Cert. Last Cert. Expires AMERICAN BOARD OF OPHTHALMOLOGY {OPHTHALMOLOGY) CURRENT 11/08/2020 12/31/2030

Specialty 1: OPHTHALMOLOGY Specialty 2: Specialty 3: Specialty 4:

Professional Liability From To Verified Method Negative UTHSCSA MALPRACTICE 08/31/2021 Limits: 500,000. - 1,500,000. I Terms: Upon Termination

Medical/Professional Education From To Verified Method Negative INDIANA UNIVERSITY SCHOOL OF MEDICINE, INDIANAPOLIS, IN 08/01/2010 05/31/2014 Subject: Doctor ofMedicine

Training From To Verified Method Negative Internship ST. VINCENT HOSPITAL, INDIANAPOLIS, IN 06/01/2014 05/31/2015 Subject: Transitional Year Residency KRESGE EYE INSTITUTE/ WAYNE STATE UNIVERSITY 07/01/2015 06/30/2018 Subject: Ophthalmology Fellowship NORTHWESTERN UNIVERSITY MEDICAL SCHOOL 07/07/2018 07/06/2019 01/05/2021 Fax N Subject: Diseases of the Retina ( Medical Retina)

Employment From To Verified Method Negative UT HEALTH SAN ANTONIO, SAN ANTONIO, TX 03/01/2021 Present 01/07/2021 Email N Cedar Run Eye Center, Traverse City, MI 08/27/2019 06/04/2020 12/22/2020 Fax N

Hospital Affiliations From To Verified Method Negative UNIVERSITY HEALTH SYSTEM-SAN ANTONIO, SAN ANTONIO, TX Pending 12/21/2020 Memo N UHS SURGERY CENTER - MEDICAL CENTER, SAN ANTONIO, TX Pending 12/21/2020 Memo N MUNSON MEDICAL CENTER, TRAVERSE CITY, MI 10/28/2019 07/12/2020 12/22/2020 On Line N Query Other From To Verified Method Negative GAP Subject: WAITING TO START RESIDENCY 06/01/2015 06/30/2015 GAP Subject: Transition for Residency to the beginning of 04/01/2018 07/31/2018 Fellowship GAP Subject: Moved to Texas for job Prospects 06/01/2020 02/28/2021

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Sentmore, Deborah R., FNP-BC

Personal Information Languages:

Practice Information UH MAILING ADDRESS UT HEALTH SAN ANTONIO 7703 FLOYD CURL DRIVE, MC 7885 MEDICINE/ PULMONARY DISEASES SAN ANTONIO, TX 78229 Telephone: (210) 567-5792 Fax Number: (210) 949-3006

UH PRIMARY OFFICE ADDRESS UT HEALTH SAN ANTONIO 4502 MEDICAL DRIVE UNIVERSITY HEALTH SYSTEM SAN ANTONIO, TX 78229 Telephone: (210) 358-4000 Fax Number: {210) 358-4775

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: MEDICINE ID: 43348 Advancement: Division: PULMONARY DISEASES Data Bank: 12/18/2020 Last Reappointment: Section: CRITICAL CARE Query Results: PDS Enrollment Complete Next Appointment Status: PENDING Category: ADVANCED PRACTICE NURSE

Board Certification Certified Initial Cert. Last Cert. Expires AMERICAN NURSES CREDENTIALING CENTER (FAMILY NURSE CURRENT 12/03/2020 12/02/2025 PRACT!TIONER)

Specialty 1: FAMILY NURSE PRACTITIONER Specialty 2:

Professional Liability From To Verified Method Negative CHAPTERS 101, 104, 108 OF TEXAS CIVIL PRACTICE AND REMEDIES 02/08/2021 02/08/2050 Limits: 100,000. - 300,000. I Terms: UPON TERMINATION

Undergraduate Education From To Verified Method Negative UT HEALTH SAN ANTONIO, SAN ANTONIO, TX 08/30/2012 05/02/2014 12/18/2020 Degree N Subject: BSN Verify

Medical/Professional Education From To Verified Method Negative UT HEALTH SAN ANTONIO, SAN ANTONIO, TX 08/21/2017 12/11/2020 12/18/2020 Degree N Subject: MSN Verify

Employment From To Verified Method Negative University Health System 06/12/2017 Present 12/22/2020 On Une N UT Health San Antonio 02/08/2021 Present 12/18/2020 Email N Chi Baylor St. Luke's Hospital, Houston, TX 07/07/2014 03/04/2016 12/18/2020 On Line N Houston Methodist Hospital, Houston, TX 03/07/2016 05/27/2017 12/18/2020 On Line N UTHSCSA (Teaching Assistant) 01/13/2020 06/25/2020 12/18/2020 On Line N

Hospital Affiliations From To Verified Method Negative UNIVERSITY HEALTH SYSTEM Pending 12/18/2020 Memo to N

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Smith, Sheila M., LCSW

Personal Information Languages:

Practice Information UH MAILING ADDRESS UT HEALTH SAN ANTONIO 7703 Floyd Curl Drive SAN ANTONIO, TX 78229 Telephone: (210) 567-0777 Fax Number: (210) 358-0647

UH PRIMARY OFFICE ADDRESS UT HEALTH 903 W. Martin Street SAN ANTONIO, TX 78207 Telephone: (210) 358-3400 Fax Number: (210) 223-6166

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: FAMILY & COMMUNITY ID: 43312 MEDICINE Advancement: Division: GENERAL MEDICINE Data Bank: 01/12/2021 Last Reappointment: Section: Query Results: PDS Status Report Next Appointment Status: Pending Category: CLINICAL ASSOCIATE

Board Certification Certified Initial Cert. Last Cert. Expires Not Boarded: Specialty 2:

Specialty 1: SOCIAL WORKER

Professional Liability From To Verified Method Negative CHAPTERS 101, 104, 108 OF TEXAS CIVIL PRACTICE AND REMEDIES 12/21/2020 12/31/2050 limits: 100,000 - 300,000 ! Terms: Upon Termination

Undergraduate Education From To Verified Method Negative UNIVERSITY OF ALASKA ANCHORAGE, Anchorage, AK 08/01/1992 05/01/1995 Subject: Human Services University of Alaska Anchorage, Anchorage, AK 05/06/1995 Subject: Associate ofApplied Science UNIVERSITY OF ALASKA ANCHORAGE, Anchorage, AK 08/01/1995 05/05/1997 Subject: Social work

Medical/Professional Education From To Verified Method Negative University of Alaska Anchorage, Anchorage, AK 05/01/2014 04/27/2016 01/12/2021 N Subject: Graduate Certificate - Social Work Management

Employment From To Verified Method Negative UT HEALTH SAN ANTONIO, SAN ANTONIO, TX 04/06/2020 Present 01/13/2021 On line N Municipality Of Anchorage, Anchorage, AK 01/12/2009 05/08/2014 01/13/2021 Print N Agnew: Beck Consultlng, Anchorage, AK 05/01/2016 12/31/2016 01/13/2021 Print N Anchorage School District, S.A.V.E. High School, Anchorage, AK 10/10/2016 03/20/2019 01/15/2021 Print N

Hospital Affiliations From To Verified Method Negative UNIVERSITY HEALTH SYSTEM, SAN ANTONIO, TX Pending 01/12/2021 Memo to N FIie Other From To Verified Method Negative GAP Subject: Caring for family member with cancer. Moved from 03/21/2019 03/31/2020 01/15/2021 Memo to N Alaska to Texas FIie

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Tenner, Patricia A., MD

Personal Information Languages:

Practice Information UH MAILING ADDRESS UT HEALTH SAN ANTONIO 7703 FLOYD CURL DRIVE SAN ANTONIO, TX 78229 Telephone: (210) 562-5816 Fax Number:

UH PRIMARY OFFICE ADDRESS UT HEALTH SAN ANTONIO 7703 FLOYD CURL DRIVE SAN ANTONIO, TX 78229 Telephone: (210) 562-5816 Fax Number:

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment

BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: PEDIATRICS ID: 16353 Advancement: Division: CRITICAL CARE Data Bank: 12/10/2020 Last Reappointment: Section: CRITICAL CARE Query Results: PDS Status Report

Board Certification Certified Initial Cert. Last Cert. Expires AMERICAN BOARD OF PEDIATRICS (PEDIATRIC CRITICAL CARE) CURRENT 08/19/2002 02/15/2021

Specialty 1: PEDIATRIC CRITICAL CARE Specialty 2: PEDIATRICS

Professional Liability From To Verified Method Negative UTHSCSA MALPRACTICE 12/15/2020 08/31/2021 Limits: 500,000-1,500,000 I Terms:

Undergraduate Education From To Verified Method Negative University of Texas at El Paso, El Paso, TX 09/01/1975 05/28/1979 University of Houston, Houston, TX 09/01/1979 05/28/1980 Subject: Psychology

Medical/Professional Education From To Verified Method Negative University of Texas, Austin, TX 09/01/1982 05/30/1984 Subject: Library and Information Science UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO 08/01/1987 05/31/1992 Subject: Doctor of Medicine

Training From To Verified Method Negative Internship CHILDREN'S HOSPITAL OF AUSTIN (Brackenridge Hospital) 07/01/1992 06/30/1993 08/31/2005 VLETR N Subject: Pediatrics Residency SCOTT AND WHITE MEMORIAL HOSPITAL 07/01/1993 06/30/1995 Subject: Pediatrics Fellowship UNIVERSITY OF IOWA , IOWA CITY, IA 07/01/1997 06/30/1998 12/14/2020 Fax N Subject: Pediatric Pulmonology Fellowship UNIVERSITY OF TEXAS HEALTH SCIENCE 07/01/1998 06/30/2001 Subject: Pediatric Critical Care Medicine

Employment From To Verified Method Negative UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO 12/15/2020 12/08/2020 Email N MEDNAX, SUNRISE , FL 01/01/2020 12/03/2020 On Line N METHODIST CHILDREN HOSPITAL 12/23/2012 12/31/2019 12/03/2020 On Line N Query

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Tenner, Patricia A., MD

Hospital Affiliations From To Verified Method Negative UNIVERSITY HEALTH SYSTEM , SAN ANTONIO, TX Present 12/03/2020 Memo N Methodist Children's Hospital, San Antonio, TX 06/22/2005 Present 12/04/2020 On Line N Scott and White Hospital, Temple, TX 07/01/1994 06/30/1996 University Hosp!tal/UTHSCSA, SAN ANTONIO, TX 07/01/1998 06/30/2005 CHRISTUS SANTA ROSA HOSPITALS SAN ANTONIO 04/20/1999 06/30/2005

Page 2 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT Provider Profile Davis, Jeremy J., PSYD

Personal Information Languages:

Practice Information UH MAILING ADDRESS 7703 Floyd Curl Drive, MC 7883 San Antonio, TX 78229 Telephone: (210) 450-9700 Fax Number: (210) 450-6041

UH PRIMARY OFFICE ADDRESS UT HEALTH SAN ANTONIO 8300 FLOYD CURL DRIVE SAN ANTONIO, TX 78229 Telephone: (210) 450-9700 Fax Number: (210) 450-6041

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment BEXAR COUNTY HOSPITAL DISTRICT Initial Appointment: Department: NEUROLOGY ID: 43283 Advancement: Division: Data Bank: 11/25/2020 Last Reappointment: Section: Query Results: PDS Status Next Appointment Status: Category: CLINICAL ASSOCIATE

Board Certification Certified Initial Cert. Last Cert. Expires AMERICAN BOARD OF PROFESSIONAL PSYCHOLOGY CURRENT 04/27/2013 12/31/2021

Specialty 1: NEUROPSYCHOLOGY Specialty 2: Specialty 3: Specialty 4:

Professional Liability From To Verified Method Negative CHAPTERS 101, 104, 108 OF TEXAS CIVIL PRACTICE AND REMEDIES 01/01/2021 12/31/2050 Limits: 100,000 - 300,000 I Terms: Upon Termination

Undergraduate Education From To Verified Method Negative Amherst College, Amherst, MA 09/08/1992 05/26/1996 10/30/2020 N Subject: Bachelor of Arts BUTLER UNIVERSITY COUNSELING CENTER, INDIANAPOLIS, , IN 08/01/2005 05/01/2006 10/30/2020 VERBL N

Medical/Professional Education From To Verified Method Negative University of Indianapolis, Indianapolis, IN 01/01/2004 05/06/2006 Subject: Master ofArts

INDIANA NEUROSCIENCE INSTITUTE ST VINCENT HOSPITAL, 08/01/2006 07/31/2007 11/05/2020 Memo to N Subject: Neuropsychological Predoctoral Fellow Practicum FIie

ROUDEBUSH VA MEDICAL CENTER, INDIANAPOLIS, IN 01/01/2007 12/31/2008 11/05/2020 Verbal N Subject: Predoctoral Fellow/Predoctoral Practicum Student N University of Indianapolis, Indianapolis, IN 08/01/2004 08/14/2009 10/30/2020 Subject: Doctor of Psychology Training From To Verified Method Negative Internship Cincinnati VAMC, Cincinnati, OH 08/04/2008 07/31/2009 10/30/2020 Eval N Residency Rehabilitation Institute of Michigan, Detroit, MI 09/01/2009 08/31/2011 11/03/2020 On Line N Subject: Rehabilitation Psychology and Neuropsychology

Employment From To Verified Method Negative UNIVERSITY OF UTAH 11/08/2011 Present 11/03/2020 Memo N UT HEALTH SAN ANTONIO, San Antonio, TX 01/01/2021 Present 10/30/2020 Memo N

Hospital Affiliations From To Verified Method Negative UNIVERSITY OF UTAH HEALTH SCIENCES/MEDICAL CENTER, SALT 11/07/2011 Present 10/30/2020 Internet N University Health System, San Antonio, TX 01/01/2021 Present 10/29/2020 Memo to N File

Page 1 Printed on Thursday, February 04, 2021 BEXAR COUNTY HOSPITAL DISTRICT

Provider Profile Tadiparthy, Satvika, MD

Personal Information Languages:

Practice Information UH MAILING ADDRESS COMMUNITY MEDICINE ASSOCIATES 903 W. MARTIN ST., MS 27-2 SAN ANTONIO, TX 78207 Telephone: {210) 358-3324 Fax Number: (210) 358-5940

UH PRIMARY OFFICE ADDRESS UNIVERSITY MEDICINE ASSOCIATES 7726 LOUIS PASTEUR FAMILY HEALTH CENTER NORTHWEST SAN ANTONIO, TX 78229 Telephone: (210) 358-8820 Fax Number: (210) 358-8149

Licensure Number State Expires Comments/Schedule STATE LICENSE TX

Appointment BEXAR COUNTY HOSPITAL DISTRICT In!tlal Appointment: Department: FAMILY & COMMUNITY MEDICINE ID: 40197 Advancement: Division: UNIVERSITY MEDICAL ASSOCIATES Data Bank: 12/08/2020

Board Certification Certified Initial Cert. Last Cert. Expires AMERICAN BOARD OF FAMILY MEDICINE (FAMILY MEDICINE) CURRENT 12/04/2020 02/15/2021

Specialty 1: FAMILY MEDICINE Specialty 2: Specialty 3: Specialty 4:

Professional Liability From To Verified Method Negative UTHSCSA MALPRACTICE 01/04/2021 08/31/2021 Limits: 500,000. - 1,500,000. I Terms:

Medical/Professional Education From To Verified Method Negative NRI INSTITUTE OF MEDICAL SCIENCES 06/30/2014 Subject: MD

Training From To Verified Method Negative Residency UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER 07/01/2017 06/30/2020 12/08/2020 Fax N Subject: FAMILY MEDICINE

Employment From To Verified Method Negative UNIVERSITY MEDICAL ASSOCIATES 01/04/2021 12/08/2020 Memo to N FIie Hospital Affiliations From To Verified Method Negative UNIVERSITY HEALTH SYSTEM , SAN ANTONIO, TX Present 12/08/2020 Memo to N File Other From To Verified Method Negative GAP Subject: STUDYING FOR ALL OF MY USMLE BOARDS STEP 1, 2, 3 07/01/2014 06/30/2017 05/28/2020 Memo to N FIie GAP Subject: Waiting for her TMB license and credentialing 07/01/2020 01/01/2021

Page 1 Printed on Thursday, February 04, 2021 University 0 Health

BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS

Tuesday, February 23, 2021

Consideration and Appropriate Action Regarding Medical-Dental Staff Recommendations for Professional Practice Evaluations and Delineation of Privileges

Background:

The Board of Managers ofUniversity Health System has approval authority for the appointment ofclinical providers to the Medical-Dental Staff and the granting of clinical privileges for overseeing the quality of care and provision oftreatment to patients. University Health System's Professional Staff Services department (PSS) is responsible for ensuring compliance regarding all applicants for the credentialing and ) privileging ofproviders. Operating under the strict standards, Professional Staff Services handles the Health System's credentialing and privileging process from beginning to end and then monitors progress between appointment cycles.

Credentialing Processes:

As part of continuous quality improvement, and in alignment with Joint Commission standards, the Health System Professional Staff Services Office monitors the clinical privileges of all privileged providers through the Professional Practice Evaluation process. Professional Practice Evaluation is a process whereby Medical-Dental staff member(s) are evaluated in regards to his/her competency and professional performance. New privileges, results of Peer Review, and assessment of Supervision are all examples ofProfessional Practice Evaluation.

Also in alignment with Joint Commission standards, the Professional Staff Services Office maintains Delineation of Privileges (DOP) for the Medical-Dental Staff. The Delineation of Privileges is a process in which the organized Medical-Dental staff evaluates and recommends an individual practitioner be allowed to provide specific patient care services with well-defined training criteria.

The Credentials Committee met on January 25, 2021 and reviewed proposed revisions to Delineation of Privilege and the Professional Performance Evaluation Report and Consideration and Appropriate Action Regarding Medical-Dental Staff Recommendations for Professional Practice Evaluations and Delineation of ) Privileges February 23, 2021 Page 2 of 2

forms. In its meeting of February 2, 2021, the Executive Committee of the Medical­ Dental Staff recommended approval ofthe following:

1) Focused/Ongoing Professional Performance Evaluation Report

Recommendation:

We recommend the Board of Managers approve the proposed Delineation of Privileges and Professional Practice Evaluation Report.

.D.,M.P.H. Rajeev Suri, M.D . esident/ President, Medical-Dental Staff ) ie e ficer

George B. Hernan z, Jr. President/Chief Executive Officer

l) J '- PROFESSIONAL PERFORMANCE EVALUATION REPORT --JANUARY-- - .. -- -- 2021 Recommendations:

1. Satisfactory Completion no concerns or t rends have been ident ified that would warrant 0 further action. University Health System 2. Issues exist that require a focused professional practice evaluation. 3. Zero performance of privilege. Focused review when privilege is performed.

Credent1a1s Review Committee Executive Type Review RECOMMENDATION! Review Review Name Spec Dept Status Period 1 2 3 Y - Yes Y - Yes Comments MEDICAL STAFF BORGMAN, KRISTIE Y., MD OPPE cardiology Pediatrics ACTIVE 03/20 - 11/20 ✓ y y y BUSH, DAVID M., MD OPPE cardiology Pediatrics COURTESY 03/20- 11/20 ✓ y y COOLEY, ASHLEY S., MD OPPE cardiology Pediatrics ACTIVE 03/20- 11/20 ✓ y y GLASOW, PATRICK F., MD OPPE cardiology Pediatrics ACTIVE 03/20- 11/20 ✓ y y GOLDSTEIN, BRIANS., MD OPPE Cardiology Pediatrics ACTIVE 03/20- 11/20 ✓ y GOODSON, SARAH A., FNP, MSN OPPE APN Pediatrics AHP 03/20- 11/20 ✓ y y y KASHYAP, POOJA, MD OPPE cardiology Pediatrics ACTIVE 03/20- 11/ 20 ✓ y KO LLARS, CATHARINE A., MD OPPE Cardiology Pediatrics ACTIVE 03/20 - 11/20 ✓ y y y MACIAS ENRIQUE2, EDUARDO, MD OPPE cardiology Pediatrics PROV 03/20 - 11/20 ✓ y MALDONADO, ELAINE M., MD OPPE cardiology Pediatrics COURTESY 03/20 - 11/20 ✓ y y y y NEISH, STEVEN R., MD OPPE cardiology Pediatrics ACTIVE 03/20 - 11/20 ✓ y OLABIYI, OLAWALE 0., MD OPPE cardiology Pediatrics ACTIVE 03/20 - 11/20 ✓ y y PORISCH, MARYE., M D OPPE cardiology Pediatrics ACTIVE 03/20 - 11/20 ✓ y y ZAMORA-SALINAS, ROLANDO, MD OPPE cardiology Pediatrics ACTIVE 03/20 - 11/20 ✓ y CARRILLO, SABRINA A., MD OPPE Critical Care Pediatrics ACTIVE 03/20 - 11/20 ✓ y y y CASTORENA, JESSICA M., PNP OPPE APN Pediatrics AHP 03/20 - 11/20 ✓ y Pietz, Clinton A., MD OPPE Critical Care Pediatrics ACTIVE 03/20 - 11/20 ✓ y y y SPILLANE, KAITLYN A., PA OPPE PA Pediatrics AHP 03/20 - 11/20 ✓ y HEARD, PATRICIA L, RA OPPE RA Pediatrics AHP 03/20 - 11/20 ✓ y y y y RUPERT, DAVID C., LVN, RA OPPE RA Pediatrics AHP 03/20 - 11/20 ✓ y Tragus, Robin E., RN OPPE RA Pediatrics AHP 03/20 - 11/20 ✓ y WAUTERS, AIMEE D., RD, RA OPPE RA Pediatrics AHP 03/20 - 11/20 ✓ y y - '-- ._,/ PROFESSIONAL PERFORMANCE- EVALUATION REPORT JANUARY_.,. ------2021 WORD, DANA R., RN OPPE RA Pediatrics AHP 03/20 • 11/20 ✓ y y DIAZ, VIRGINIA, RA OP PE RA Pediatrics AHP 03/20 • 11/20 ✓ y y HUNG, JACLYN Y., PHO, RA OPPE Hema-One Pediatrics ACTIVE 03/20 - 11/20 ✓ y y MALDONADO, FRANCES M., RA OPPE RA Pediatrics AHP 03/20 - 11/20 ✓ y y CHEN, PHILIP G., MD OPPE OTO OTO ACTIVE 04/20 - 12/20 ✓ y y EARLEY, MARISA A., MD OPPE OTO OTO ACTIVE 04/20 - 12/20 ✓ y y FERRELL, JAY K., MD OPPE OTO OTO ACTIVE 04/20 • 12/20 ✓ y y HOLT, G. R., MD OPPE OTO OTO ACTIVE 04/20 - 12/20 ✓ y y MCEVOY, TIMOTHY P., MD OPPE OTO OTO ACTIVE 04/20 - 12/20 ✓ y y MILLER, FRANK R., MD OPPE OTO OTO ACTIVE 04/20 - 12/20 ✓ y y OTTO, RANDAL A., MD OPPE OTO OTO ACTIVE 04/20 - 12/20 ✓ y y STALLWORTH, CHRISTIAN L., MD OPPE OTO OTO ACTIVE 04/20 - 12/20 ✓ y y TAYLOR, CHRISTINE B., MD OPPE OTO OTO ACTIVE 04/20 - 12/20 ✓ y y VILLARREALJR., ALFREDO D., PA-C OPPE PA OTO AHP 04/20 - 12/20 ✓ y y Agarwal, Animesh, MD OPPE Ortho Ortho ACTIVE 04/20 • 12/20 ✓ y y Brady, Christina I., MD OPPE Ortho Ortho PROV 04/20 · 12/20 ✓ y y Burau, Paige C., FNP OPPE APN Ortho AHP 04/20 • 12/20 ✓ y y BUTLER, MARY K., PA OPPE PA Ortho AHP 04/20 - 12/20 ✓ y y BUTTACAVOLI, FRANK A., MD OPPE Ortho Ortho ACTIVE 04/20 - 12/20 ✓ y y CHAPUT, CHRISTOPHER D., MD OPPE Ortho Ortho ACTIVE 04/20 - 12/20 ✓ y y CORLEY JR., FRED G., MD OPPE Ortho Ortho ACTIVE 04/20 - 12/20 ✓ y y CROMACK, DOUGLAS T., MD OPPE Ortho Ortho ACTIVE 04/20 - 12/20 ✓ y y DEL BOSQUE, BRANDON L., PA-C OPPE PA Ortho AHP 04/20 • 12/20 ✓ y y DELALLO, CHRISTOPHERJ., PA-C OPPE PA Ortho AHP 04/20 - 12/20 ✓ y y DUTTA, ANIL K., MD OPPE Ortho Ortho ACTIVE 04/20 - 12/20 ✓ y y EDWARDS JR, WILLIAM H., MD OPPE Ortho Ortho ACTIVE 04/20 - 12/20 ✓ y y GALINDO JR, MAYO J., MD OPPE Ortho Ortho ACTIVE 04/20 - 12/20 ✓ y y GIBBONS, STEVEN D., MD OPPE Ortho Ortho PROV 04/20 - 12/20 ✓ y y Glatt, Vaida, RA OPPE RA Ortho AHP 04/20 - 12/20 ✓ y y Hall, Brad B., MD OPPE Ortho Ortho ACTIVE 04/20 - 12/20 ✓ y y HAND, THOMAS L., MD OPPE Ortho Ortho PROV 04/20 · 12/20 ✓ y y Jacobs, Philip M., MD OPPE Ortho Ortho ACTIVE 04/20 - 12/20 ✓ y y KARIA, RAVI A., MD OPPE Ortho Ortho ACTIVE 04/20 - 12/20 ✓ y y KODOSKY, JOHN T., PA-C OPPE PA Ortho AHP 04/20 - 12/20 ✓ y y

LOPE2, MELISSA, RN OPPE Clinical Assoc Ortho AHP 04/20 - 12/20 ✓ y y MCCORMICK, SEKINAT K., MD OPPE Ortho Ortho ACTIVE 04/20 - 12/20 ✓ y y MORREY, BERNARD F., MD OPPE Ortho Ortho COURTESY 04/20 • 12/20 ✓ y y NORTON, DENISE L., MD OPPE Ortho Ortho ACTIVE 04/20 - 12/20 ✓ y y PESEK, RACHEL D., RN OPPE RA Ortho AHP 04/20 - 12/20 ✓ y y QUINN JR., ROBERT H., MD OPPE Ortho Ortho ACTIVE 04/20 - 12/20 ✓ y y ....._I '- PROFESSIONAL PERFORMANCE EVALUATION REPORT

--JANUARY------2021 RAJANI, RAJIV, MD OPPE Ortho Ortho ACTIVE 04/20 - 12/20 ✓ y y RAMANUJAM, CRYSTAL L., DPM OPPE Ortho Ortho ACTIVE 04/20 - 12/20 ✓ y y RAMOS, PRISCILLA, PA-C OPPE PA Ortho AHP 04/20 - 12/20 ✓ y y RHAME, BENJAMIN W., PA-C OPPE PA Ortho AHP 04/20 - 12/20 ✓ y y

ROSE, RYAN A., MD OPPE Ortho Ortho PROV 04/20 - 12/ 20 ✓ y y SOBOLEVSKY, MICHAELA., DPM OPPE Ortho Ortho ACTIVE 04/20 - 12/ 20 ✓ y y Vesely, Lauren A., PA OPPE PA Ortho AHP 04/20 - 12/20 ✓ y y y WHITNEY, IAN J., MD OPPE Ortho Ortho PROV 04/20 - 12/ 20 ✓ y ZELLE, BORIS A., MD OPPE Ortho Ortho ACTIVE 04/20 - 12/ 20 ✓ y y ZGONIS, THOMAS, DPM OPPE Ortho Ortho ACTIVE 04/20 - 12/ 20 ✓ y y ALI, FOZIAA., MD OPPE FC Medi FC Medi ACTIVE 04/20 - 12/20 ✓ y y

ALLEN SR., PAUL B., PA OPPE PA FC Medi AHP 04/20 - 12/ 20 ✓ y y ALVARADO, MAUREEN, DO OPPE FC Medi FC Medi ACTIVE 04/20 - 12/ 20 ✓ y y

ANDRY II, NEHMAN M., MD OPPE FC Medi FC Medi ACTIVE 04/20 - 12/20 ✓ y y Aniemeke, Chidinma 0., MD OPPE FC Medi FC Medi ACTIVE 04/ 20 - 12/ 20 ✓ y y

ANZURES, EDNA Y., MA OPPE Clinical Assoc FC Medi AHP 04/20 - 12/ 20 ✓ y y AVERY, RICHEL 2., MD OPPE FC Medi FC Medi ACTIVE 04/20 - 12/ 20 ✓ y y BAZALDUA, ORALIA V., PHARMD OPPE FC Medi FC Medi . AFFILIATE 04/20 - 12/ 20 ✓ y y BECK, TINA C., PHARMD OPPE FC Medi FC Medi AFFILIATE 04/20 - 12/ 20 ✓ y y BLAND, LETICIA, PA-C OPPE PA FCMedi AHP 04/20 - 12/ 20 ✓ y y

BOLFING, BRANDON L., MD OPPE FC Medi FCMedi ACTIVE 04/ 20- 12/ 20 ✓ y y Boseman, Paul F., FNP OPPE APN FCMedi AHP 04/20- 12/ 20 ✓ y y BUCK, AMYL., FNP OPPE APN FCMedi AHP 04/20- 12/ 20 ✓ y y BURGIN, TIFFANI D., PA OPPE PA FCMedi AHP 04/ 20- 12/ 20 ✓ y y

CADENA JR., DAVID C., MD OPPE FCMedi FCMedi ACTIVE 04/20- 12/20 ✓ y y y Cancino, Ramon S., MD OPPE FCMedi FCMedi ACTIVE 04/ 20- 12/20 ✓ y

Cardona, Priscilla A., BS, CHW OPPE Clinical Assoc FCMedi AHP 04/ 20- 12/20 ✓ y y CHAVEZ, CRYSTAL H., MD OPPE FCMedi FC Medi ACTIVE 04/20- 12/20 ✓ y y

CLAY, JESSICA M ., LVN OPPE Clinical Assoc FC Medi AHP 04/20- 12/ 20 ✓ y y y y CORDOVA, TATIANA, MD OPPE FCMedi FCMedi ACTIVE 04/ 20 - 12/20 ✓ CORONA, BETTY A., DNP, FNP OPPE APN FCMedi AHP 04/20 - 12/20 ✓ y y y COSSIO, GRISELDA, PA-C OPPE PA FC Medi AHP 04/20 - 12/20 ✓ y y CRUZ, INEZ I., PHO OPPE FC M edi FC Medi ACTIVE 04/20 - 12/20 ✓ y y y DAVIDSON, DEWAYNE A., PHARMD OPPE FC Medi FC Medi AFFILIATE 04/20 - 12/20 ✓ y DAVILA, ANGELICA E., MD OPPE FCMedi FC Medi ACTIVE 04/ 20 - 12/20 ✓ y y DINH, ANDREW, DO OPPE FC Medi FC Medi PROV 04/20 - 12/20 ✓ y y EDRINGTON-MEDINA, ELISHA J., FNP OPPE APN FC Medi AHP 04/ 20 - 12/20 ✓ y ELLIS, KIMBERLY K., MD OPPE FCMedi FC Medi PROV 04/20 - 12/20 ✓ y y L - ._/ PROFESSIONAL PERFORMANCE EVALUATION REPORT JANUARY_.. ------2021 Emko, Nida J., MD OPPE FC Medi FCMedi ACTIVE 04/20 • 12/20 ✓ y y ESCAMILLA, DAISY, RA OPPE RA FCMedi AHP 04/20 - 12/20 ✓ y y FAGAN, PATRICIA G., FNP OPPE APN FCMedi AHP 04/20 - 12/20 ✓ y y FAJARDO, GABRIELA C., PA-C OPPE PA FCMedi AHP 04/20 - 12/20 ✓ y y

FA2, MONICA, MA OPPE Clinical Assoc FCMedi AHP 04/20 - 12/20 ✓ y y FERNANDE2 FALCON, CRISTIAN P., MD OPPE FC Medi FCMedi ACTIVE 04/20 - 12/20 ✓ y y Ferrer, Robert L, MD OPPE FC Medi FC Medi ACTIVE 04/20 - 12/20 ✓ y y FINLEY, MARGARET R., MD OPPE FC Medi FCMedi COURTESY 04/20 - 12/20 ✓ y y FORSTER, JACQUELINE N., LVN, RA OPPE RA FCMedi AHP 04/20 - 12/20 ✓ y y

GARCIA, GLORIA R., RN OPPE Clinical Assoc FCMedi AHP 04/20 - 12/20 ✓ y y GAR2A, DIANA A., FNP OPPE APN FCMedi AHP 04/20 - 12/20 ✓ y y GERLA, ANDREA M., MD OPPE FC Medi FCMedi PROV 04/20 - 12/20 ✓ y y

GIDDINGS, SARAN., BS, CHW OPPE Clinical Assoc FCMedi AHP 04/20 - 12/20 ✓ y y GONZALEZ-SCHLENKER, CAROLINA, RA OPPE RA FCMedi AHP 04/20 - 12/20 ✓ y y Hepburn, Byron C., MD OPPE FC Medi FCMedi ACTIVE 04/20 - 12/20 ✓ y y HERNANDE2, JESSICA, RMA, RA OPPE RA FCMedi AHP 04/20 - 12/20 ✓ y y JAEN, CARLOS R., MD OPPE FC Medi FCMedi ACTIVE 04/20 - 12/20 ✓ y y Johnson Blower, Jessica A., MD OPPE FC Medi FCMedi ACTIVE 04/20 - 12/20 ✓ y y JOHNSON-ESPAR2A, YAJAIRA J., PHO OPPE FC Medi FCMedi AFFILIATE 04/20 - 12/20 ✓ y y JOSE, SHERI NET., DO OPPE FCMedi FCMedi PROV 04/20 - 12/20 ✓ y y KATERNDAHL, DAVID A., MD · OPPE FC Medi FCMedi ACTIVE 04/20 - 12/20 ✓ y y King, Debra A., FNP OPPE APN FCMedi AHP 04/20 - 12/20 ✓ y y Kumar, Kaparaboyna A., MD OPPE FC Medi FCMedi ACTIVE 04/20 - 12/20 ✓ y y LANTZ, RONDA L., FNP OPPE APN FCMedi AHP 04/20 - 12/20 ✓ y y LAWLER, WILLIAM R., MD OPPE FC Medi FCMedi ACTIVE 04/20 - 12/20 ✓ y y LOPE2, GABRIELA E., PSYD OPPE FC Medi FCMedi ACTIVE 04/20 - 12/20 ✓ y y MARTIN, JAMES C., MD OPPE FC Medi FCMedi ACTIVE 04/20 - 12/20 ✓ y y MATHEW, BUU, FNP-BC OPPE APN FCMedi AHP 04/20 • 12/20 ✓ y y Mathew, Ruby, ACNP, NP OPPE APN FCMedi AHP 04/20 - 12/20 ✓ y y

MEDINA, ANDREA F., BS OPPE Clinical Assoc FCMedi AHP 04/20 - 12/20 ✓ y y MONTANEZ VILLACAMPA, MARIA D., MD OPPE FC Medi FCMedi ACTIVE 04/20 - 12/20 ✓ y y MORENO, ALENA V., PA-C OPPE PA FCMedi AHP 04/20 • 12/20 ✓ y y MOSCRIP, CORDELIA A., MD OPPE FC Medi FCMedi ACTIVE 04/20 - 12/20 ✓ y y NADEAU, MARKT., MD OPPE FCMedi FCMedi ACTIVE 04/20 - 12/ 20 ✓ y y NICHO, MARIA NELLA, PA-C OPPE PA FCMedi AHP 04/20 - 12/20 ✓ y y OGBEIDE, STACY A., PSYD OPPE FC Medi FCMedi AFFILIATE 04/20 - 12/20 ✓ y y OSCOS-SANCHE2, MANUEL A., MD OPPE FC Medi FCMedi ACTIVE 04/20 • 12/20 ✓ y y PALACIOS, MIGUEL A., MD OPPE FC Medi FCMedi ACTIVE 04/20 - 12/20 ✓ y y .._/• '- PROFESSIONAL PERFORMANCE EVALUATION REPORT --JANUARY.... ------2021 PALMER, RAYMOND, RA OPPE RA FC Medi AHP 04/20 • 12/20 ✓ y y PATEL, NEELA K., MD OPPE FCMedi FC Medi COURTESY 04/20 · 12/20 ✓ y y PERALES, ROGER B., RA OPPE RA FC Medi AHP 04/20 · 12/20 ✓ y y POURSANI, RAMIN S., MD OPPE FCMedi FC Medi ACTIVE 04/20 · 12/20 ✓ y y Preikschat, Bailey A., MPH, RA OPPE RA FC Medi AHP 04/20 - 12/20 ✓ y y RAVI, THARANI, MD OPPE FCMedi FC Medi COURTESY 04/20 · 12/20 ✓ y y REMENCHIK, ELLEN J., MD OPPE FCMedi FC Medi PROV 04/20 • 12/20 ✓ y y RINCON, RODOLFO, RA OPPE RA FC Medi AHP 04/20 • 12/20 ✓ y y RIVERA, MAIZAL C., FNP OPPE APN FC Medi AHP 04/20 • 12/20 ✓ y y

ROCHA, SELENA B., MA OPPE Clinical Assoc FC Medi AHP 04/20 • 12/20 ✓ y y RODRIGUEZ PEREZ, VIRGEN M., MD OPPE FCMedi FCMedi ACTIVE 04/20 · 12/20 ✓ y y RODRIGUEZ, JASMINE, RA OPPE RA FCMedi AHP 04/20 • 12/20 ✓ y y RODRIGUEZ, MICHELLE, MD OPPE FCMedi FC Medi PROV 04/20 · 12/20 ✓ y y SAM, BINDU, FNP-BC OPPE APN FC Medi AHP 04/20 • 12/20 ✓ y y

SANCHEZ, JEANNETTE, CHW OPPE Clinical Assoc FC Medi AHP 04/20 - 12/20 ✓ y y Shrouf, Ellen M., PHD OPPE FC Medi FC Medi AFFILIATE 04/20 • 12/20 ✓ y y Siddiqui, Saima, MD OPPE FC Medi FC Medi ACTIVE 04/20 · 12/20 ✓ y y SIDHU, PRAJNA, MD OPPE FCMedi FC Medi ACTIVE 04/20 • 12/20 ✓ y y STARKWEATHER, HELEN M., FNP OPPE APN FC Medi AHP 04/20 • 12/20 ✓ y y URIBE, MARGARITA, PA-C OPPE PA FC Medi AHP 04/20 · 12/20 ✓ y y VARMA, ARCHANA, MD OPPE FC Medi FC Medi ACTIVE 04/20 · 12/20 ✓ y y VASQUEZ, DIANA M., FNP OPPE APN FC Medi AHP 04/20 · 12/20 ✓ y y WAGLE SHARMA, DEEPA, FNP OPPE APN FC Medi AHP 04/20 • 12/20 ✓ y y WIEMERS, MARCY R., MD OPPE FC Medi FC Medi ACTIVE 04/20 · 12/20 ✓ y y Yuen, Joyce K., DO OPPE FCMedi FC Medi ACTIVE 04/20 • 12/20 ✓ y y J PROFESSIONAL PERFORMANCE EVALUATION REPORT JANUARY 2021

The above listed Professional Practice Evaluations have been reviewed by the members of the Credentials Committee and approved as submitted.

;YU,/? ;_j_2 \~1"2.. t::.?.,I Mark T. Nadeau, MD Date I Chairman, Credentials Committee

~ ?- I (p.4r Ib" :> ( Christopher Copeland Date Executive Director, Professional Staff Services -...J' FOCUSED PROFESSIONAL PERFORMANCE EVALUATION REPORT

EVALUATION QUESTIONIER 0 1. Did the practitioner demonstrate professional ethics and clinical competence? University 2. Was this practitioners operating technique adequate and was competence evident? Health S ystem 3. Did this practitioner cooperate with colleagues, nurses and other hopsital staff? 4. Did t his practitioner provide care for patients at a professional level of quality and efficiency? 5. Did this practitioner abide by the Medical-Dental Staff Bylaws and by all other standards, policies, rules and regulations of the University Health System? 6. Are you aware of any health problems that could interfere with patient care?

7. Are you aware of any pateint/ staff complaints? JANUARY 2021 8. Are you aware of any peer review(s) conducted within the last 12 months?

Credentials Committee Executive Review Review EVALUATIONS Review Review Name Spec Dept Status Period Type 1 2 3 4 5 6 7 8 Y - Yes Y-Yes Initial Appointment/ Additional Privilege MEDICAL STAFF 6/30/20- Alvarez, Gina A., RN, RA RA Medicine AHP 12/31/20 FPPE y y y y y N N· N y y Initial Appointment 6/30/20- Gallagher, Margaret E., MD Surgery Pediatric Prov 12/31/20 FPPE y y y y y N N N y y Initial Appointment 6/30/ 20- Jung, Youngsin, MD Neuro Neurology Prov 12/31/20 FPPE y y y y y N N N y y Initial Appointment 6/30/20- Lyons, Yasmin A., DO OB/GYN OB/GYN Prov 12/31/20 FPPE y y y y y N N N y y Init ial Appointment 6/30/20 · Nguyen, Duy C., MD Cardiothor Surgery Prov 12/31/20 FPPE y y y y y N N N y y Initial Appointment 6/30/20- Porter, Anne E., MD OB/GYN OB/GYN Prov 12/31/20 FPPE y y y y y N N N y y Initial Appointment 6/30/20 - Symank, Katheryn J., NNP Pediatric NP AHP 12/31/20 FPPE y y y y y N N N y y Initial Appointment Ellis, Kimberly K., MD Pediatric Core Privileges {Ambulatory Only): Arterial puncture; Incision and drainage; Repair simple lacerations and suture removal; Urethral 6/30/20 - catheterization. Newborn Core Privileges 12/31/20 (Ambulatory Only): Incision and drainage; Repair simple lacerations and suture removal FCMedi FC Medi Active FPPE y y y y y N N N y y Hafeez, Shaheryar, MD Preliminary radiological and interpretations of head 6/30/20- Neurosur CT to diagnose and provide emergent clinical 12/31/20 Neuro Active FPPE y y y y y N N N y y interventions for stroke patients Urology Core Privileges; Urology Special Privileges: lbilibor, Christine, MD, RA 6/30/20- Urology Fluoroscopy and Computerized DaVinci RA AHP 12/31/20 FPPE y y y y y N N N y y J FOCUSED P.ROFESSIONAL PERFORMANCE EVALUATION REPORT

Moreno, Alena, PA-C Emergency Medicine/Special Procedures with Direct Supervision: Abscess Incision & Drainage, Corneal Foreign Body Rem oval, Laceration Repair, Nail Removal Women's Healt h Special Procedures with 6/30/20- PA FC Medi Direct Supervision: 1&0 Bartholin Gland Cyst; 12/31/20 Otolaryngology- H & S with Direct Supervision: Anterior nasal packing, Foreign body removal ENT

AHP FPPE y y y y y N N N y y Pietz, Clinton A., MD Procedures: pericardiocentesis, peritoneal drain 6/30/20- placement, diagnostic and t herapeutic Critical 12/31/ 20 bronchoscopy, central venous access, and Care Pediatric Active FPPE y y y y y N N N y y ,..r+o.. i,.. f ,-,..t,l,,,,ot,or Emerg Emerg 6/30/20- Varney, Shawn, MD Medi Medi Active 12/31/20 FPPE y y y y y N N N y y Bedside Ultrasonography- Regional Anesthesia Whitford, Allen, DO Head/Neck Core Privileges - Epistaxis Control ; Laryngoscopy; Naso-Pharyngeal Endoscopy; 6/30/20- Drainage of peritonsillar abscess; Removal of 12/31/20 Emerg Emerg corneal foreign body and/or rust ring; Lateral Medi Medi Active FPPE y y y y y N N N y y canthotomv· Tooth stabilization

The above listed Focused Professional Practice Evaluations have been reviewed by the members of the Credentials Committee and approved as submitted.

~//2/::_ ~.J? 1(~1/2-0-,_,/ Date Mark T. rctau, MD I~◄ Chairma , Credentials Com · ee

/?- o.!P / )=-I Chr~land Executive Director, Professional Staff Services '-- \_.; J

FOCUSED PROFESSIONAL PERFORMANCE EVALUATION REPORT

SURGERY.. CENTER MARC University Health System D EVALUATION QUESTIONIER ..... Surgerv- Center - Medical Center 1. Did the practitioner demonstrate professional ethic and dinical competence? i <...... ~ 1'1Js pracuuoners operating tecnmque aaequate anc was competence evident ? 3. Did this practitioner cooperate with colleagues. nurses and other hopsital staff?

4 . Did this practitioner provide care for patients at a p,ofcssional level of quality and efficienc-;> I s. Did this practitioner abide by the Medical-Dental Staff Bylaws and by all other standards, policies. rules and regulations of the University Health ~ystem' i ,6. Are you aware of any health problems that could interfere with patient care? 'I j7. Are you aware ci any pateint/staff complaints? JANUARY 2021 8. Are you aware ol any peer reviewts) conducted within the last 12 months?

Ct~entials I Committee Executive Initial I Review Review EVALUATIONS Review Review Appointment/Additiona l I Name Spec Dept Status Period Type 1 2 3 4 5 6 1 1 s Y - Yes Y-Yes Privileges 6/30/20 · De Erausquin, G,1briel J... •• MO I Neuro NturoJogy I Prov 12/31/20 FPPE y y v/v y N I N N I y i y Initial Appoint ment 6/30/20 • lbilibor. Christine, MD urology Urology I Prov 12/?.1/20 FPPE y ! y y y y N I N N y y Init ial Appointment 6/30/20 · Lyons, Y-,smin, 00 08/G~N 08/GYN Pro·, 12/ 31/20 FPPE y y y y y N N N y y 1n1t;a1Appo intmerit 6/30/20- Tabli10, K~thryn R., CRNA CRNA Anes AHP 12/31/20 FPPE y y y y y N N N y y I Init i al Appointment 6/30/20 · •Vera. Victoria. CRNA I Ane$ AHP 12/ 31/20 FPPE y y y y y N y y ) tniti:.I Appointment ' CRNA I NINI

The above listed Focused Professional Practice Evaluations have been reviewed by the members of the Credentials Committee and approved as submitted.

<:

J}) (!Ml!), ~ ~ ( ~ Date Lee Carhsle, MD C)ate Christopher Copeland Medical Director, UHS Surgery Centers Executive Director, Professional Staff Services :L/ I p{)ti PROFESSIONAL PERFORMANCE EVALUATION REPORT JANUARY 2021 University Health System ! I !o Recommendations; Surgery Center - tvfedical Center ; 1 < t,-'· ~ n,. - -, ···-- ' -. -----·--- further :aehon

,. iS5ues exis: that re:;.uire a focused profession.a: ;::,rac.i::e e...a!u.itior;

,. Zero performance o! privilege FoaJsed re,;iew whim pnvilege c; perlotmed. i i ; ____ en ___ I Review ! Committee Executive ! Type Review R~C:OMM~O,l;.TIO!I! Re11iew Review . Name Spec Dept IStatus Period 11 2 3 Y-Yes Y -Yes Comments MEDICAlSTMf I Agarwa-J. Ani=••. MD O?PE Or.he Orthe A,ti11e 04/20-12/20 ✓ i y SRA!>'r. Cl-tRisrJ~ L. MD OPPE Or.~e Orthe 04/20 · 12/ZC ,1 y ' B,JTTACAVOU. ~RA.NtA., MD 0:tho Oohc r:)l./20-uno y y' ' ! CHA::>Ji, OilUSiOPHEI<: D., MD ""'O?P~ Or::ho Orthc -· 04/20· 12/W ✓' y y EDWARDS: JR, Wl~LJAM K. MO -·""'" OPPE Or.ho Ortllo A_, ~/20 -12/20 y GMINOOJR, MA"'OJ. MO OP?E Or.ho C>nho ' ""'" 04/20 • 12/20 " y y GIBBONS, STMN D., MD Or?: Oriho Or.he Actr~c 04/20 · :..vio ' y HAND. THOMAS L. MO I ""' °""' Onho Active CX/20 • 12/20 -I" y' .ia,on~. ?hifrp M., MO OPPf Ortho Dnho Act~ 04/20 · 12/20 ../ 'y y l KARIA, AAVi A~ MO OPPE Onho Ar.ive 04/20 • 12/20 ,j ' MCCORMICK. Sfl(JNAT K.• MD OPP£ """Ortho onho Act= 04,'2C -12/20 ,j ' y' MORREY. BERNAAD F•• MD O?Pf Orme Onho 04/20. :uza -I 'y QUINN Jft. ROB:R! H., MO OPP£ Orthc Ortho Acti~=·· OA/20-12/20 ✓ y 'y RAJAH!. RAJIV. MO O?PE Ortho Onhc I ""= 04/20 - 12/2-0 ✓ I y ROSE, RYAN A., MO OP?f Ortrio O~ho Aetl...e 04/20-12/20 -I l y 'y AAMANLJJAM, CRYSTAL~-. O?M Ortho ' OPPE O

PROFESSIONAL PERFORMANCE EVALUATION REPORT

JANUARY------2021 HOLT,G.R.• MO ! OPPE l OTO OTO I Ac,;,,. 04120. 12120 I .J y y t ! MllLER. FRANK R., MD OPPE t OTO OTO I Active I 04/20 . 1V20 I .J I y y l I OTTO, RANDAL 4., MD OPP( t OTO OTO ! =• 04/20 · 12/20 f Y y y [ I J lci:.01 l..'tl.0.!,~.!!8.ISJLo J,{)-t/ Medical Director, UHS Su rgery Centers

) /1/ ')~?\ Christ~opher Copeland Date Exect1tivl! Bi1 ectc1, P10fessi011al Staff Services C ',_,I _)

FOCUSED PROFESSIONAL PERFORMANCE EVALUATION REPORT SURGERY CENTER ROBERT _B• .GREEN

EVALUATION QUEmONIER 0 ~=:!!~ H=!~R~:!e,i:npns 1. Did the praclltioner demonstrate professional ethics and clinical competence> I' . ------~ -Vnrthis p1 ac11tio,~r5 0pe12ti11g"'temn~~'""aifowas compet~nceevi8ent. 3. Did this practitioner cooperate with cclleagues, nurses and other hopsital stafri'

4. Did this practitioner provide c.are for patients at a professional level of quality and efficiency? s. Did this practitioner abide by the Medic.al-Dental Staff Sytaws and by all other standards, policies, rules and regulations of the University Health System? 6. Are you aware d any health problems that could interfere w ith patient care?

7. Are you aware d any pateint/staff complaints? JANUARY 2021 8. Are you aware d any peer re11iew(s) conducted within the last 12 months?

Credentials Committee Executive Review Review EVALUATIONS Review Review Initial Appointment/ Additional Name Spec Dept Status Period Type 1 2 3 4 5 6 7 8 Y-Yes Y-Yes PrMleees 6/30/20 · lbilibor, Christine, MD Urology Urology PROV 12/31/20 FPPE y y y y y N N N y y lnitl•I Appcintment 6/30/20· Lyons, Yasmin, DO 08/ GYN 0B/ GYN PROV 12/31/20 FPPE y y y y y N N N y y Initial Appo1nunent i I 6/30/20- Tabli20, Kathryn R., CRNA ' CRNA Anes I AHP 12/31/20 FPPE y y y y y N N N y y U'1i t1a l Appofnt m et'H 6/30/20· Vela, Victoria, CRNA I CRNA Anes I AHP 12/31/20 FPPE y y y y y N N N y y lnm ~I A.ppomtment The above listed Focused Professiol)al Practice Evaluations ha11e been reviewed by the members of the Credentials Committee and approved as submitted. '

, j ()J1/&¥}' -2,L' I~~ , :i. ),/2.. .J. / !1IJ I //----- Lee Carlisle, MD Date Christopher Copeland Date Medical Director, UHS Surgery Centers Ellecuti11e Director, Professional Staff Services PROFESSIONAL PERFORMANCE EVALUATION REPORT JANUARY 2021 I lo University Health System Recommendations: Surgery (',DnWr - Robnrt B. Grnen Campus .. --- : 5.ltisf"acr;· Compleucm no wm;emi Of 1rend~ have- beer. 1der.1ifle~ 1ti-:1 we.sic w.arrant iunher .iaien '

,. l~~ues e1m: t!'lilt te:Quire a foc:usec professionai praaice evc1luaMm

,. Zero pcrfcr.'l;ance of pnvifege. Focvsea reVJew w:'ler:. privilege 1s performed.

i Creo.enti.15 ' E>ecutive I Review I ' : Committee Type Review RECOMWENCA1'10'I R~view Review ' Name Spec Dept Status Period l 2 3 Y-Yes Y-Yes 'i Comments M.EDlCAL STAfF I GISSONS, mvH.: o., MC OP;;,E I Orthc Crtho A.ctive ~/2G- l2/20 -I I y y MCCORMICK. SEK!NAT ~-- MO OPPE . Ortne Orthc '-"= OV2C-12J'lfJ -I I y y RAMANUJAA',, CRYSTAL L, Cl:>M OPPE ' Clnho O~he, Active ~/2C- l2/20 -I y y ROSE, RYAN A-, MO I o:::pe Ortht: Ortr.c Ac'.WE' • Oll{.10-12/20 ✓ ; I y y SOBOLEV-~. MICH.ti.EL A., O?M OPPf Orthc Onho I A.cti ... t °'1/20 12/20 ✓ I y I y CHEN, ?HlllP G., MD OPPE om OTO \ Ac.'livl;' , ~/20. 12120 I ✓ I y y EARLEY. MAFi:SA A., MO OPPE OTO OTO Aam 04/20 - 12/2C i ,/ y y FERRElLJAY l.., MO OPPE OTO OTC 11.ctivt 04/20 - 12/20 -I ' y y l-!OlT. G. fl •. MD OPPE i OTC ore t..::tiv,e- 0.:./20· ]2/7:0 -I y y MCEVOY. TIMOTHY~ .• MC OPPE ' CTC OTC ""'" 04/ZO - ll/20 ✓ y y MIU.ER. FP.ANX R.. MD OPPE OiO OTO Actrv~ 04/20 • !2/20 f ✓ y y i OTTO, RANDAL A .• t.40 OPPE. OTC OTO ACfM~ J 04/20 · 12/ZO ✓ I y y i STAI.LWO;;.Tn. CHRISTIAN~- MD OPPE OTO OTC Act,~e 04/20 - ll/20 -i y y ' !AYLOR. CHRGTlM. 8 .• MD OPPf OTO 010 A.ctivt 04/10 · 12/2-0 .,, y y I y VlllA?.REAl. JR., AL'REOO C .. p,:...( OPPE " OTO AH? 04/20 · 12,/20 ✓ y I C '-' _)

PROFESSIONAL PERFORMANCE EVALUATION REPORT JANUARY 2021

------~lµl.1JDis:e:..,a:ut1...0.,_,u,.p,_,1"'1stw:.ea.....,e:.wro-fesional..2!:adr+'.c&awatiam..haii.eJ:ie.en.cew~be..membels.ot..tbe-Credelltials..Committ.e.e..lQd..ppw.ue.d..s.s.ubmiue.,______+-______

l_& s. flat/fl 'J1j/) :)_,/, h~t,1 !Lee cartisle, MD Date !Medical Director, UHS Surgery Centers

~ ? /, I! 02_( Christopher Copeland Date Executive Director, Professional Staff Services ~ University ... Health

BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS

Tuesday, February 23, 2021 Consideration and Appropriate Action Regarding a Contract with Johnson Controls, Inc. for Replacement of Central Energy Plant Controls at University Hospital

Background: The existing, [circa 1995] Direct Digital Controls (DDC) within the Chill Water Plant serving both University Hospital and VA Hospital are obsolete without availability of parts and places the two facilities and departments serviced at high risk in case of equipment failure

Analysis: Staff engaged KCA Engineers to evaluate and design the Central Energy Plant (CEP)—Controls upgrade and replacement project so that the change-out of old controls would not disrupt operations and minimize down time during load transfer. Equipment layouts and project phasing were designed with construction documents prepared in accordance with local, state and national codes.

The scope of work comprises removal of all existing DDC, including select field devices, conduits, panels, wiring, etc. within the CEP that provides services to University Hospital and VA hospital.

Procurement Services solicited Request for Proposals (RFCSP#220-10-063-CNST) for Construction Services from six (6) Digital Controls firms with only one (1) firm responding.

Johnson Controls Inc. was selected based on their competitive pricing ($599,810), proposed schedule (161 calendar days), healthcare experience and safety record. The Johnson Controls Inc. Project Team was well prepared, highly skilled, experienced, and capable to do the detailed work for this project.

Quality Note:

The Contractor will provide services that will optimize the use of available funds while providing the highest quality construction within the established project schedule and budget. Johnson Controls, Inc. will have an on-site superintendent to BCHD Board of Managers - Contract with Johnson Controls, Inc. for Replacement of Central Energy Plant Controls at University Hospital Tuesday, February 23, 2021 Page 2 of 3 ensure that the labor force is adhering to construction standards and schedules, while providing regular project updates.

Fiscal Impact:

Staff has reviewed the Johnson Controls Inc. pricing for construction services and recommends approval of their proposal in the amount of $599,810. This project is funded from designated capital funds (60%) and VA designated utility funds (40%).

Project Budget Summary Scope Cost Design Services $ 41,665 Construction Cost (This request) $ 599,810 Total $ 641,475

Strategic Note:

This project will support staff in achieving the Triple Aim Plus objectives by improving efficiencies in the infrastructure maintenance of the facility, safety and providing a positive impact on quality and outcomes.

Community Outreach Plan/Workforce Composition:

Johnson Controls Inc. (San Antonio, Local Branch) has a total of 373 employees. The workforce composition data is as follows: American Asian African Non—Professional Workforce Indian American American Hispanic White Total Female 0 4 14 16 42 76 Male 0 9 29 67 55 160 Combined Non-Professional Total 0 13 43 83 97 236 American Asian African Professional Workforce Indian American American Hispanic White TOTAL Female 0 2 8 24 33 67 Male 0 3 9 14 44 70 Combined Professional Total 0 5 17 38 77 137 Total Workforce 0 18 60 121 174 373 0% 4.8% 16% 32.4% 46.6% 100% BCHD Board of Managers - Contract with Johnson Controls, Inc. for Replacement of Central Energy Plant Controls at University Hospital Tuesday, February 23, 2021 Page 3 of 3

Recommendation:

Staff recommends Board of Managers’ approval of the selection of Johnson Controls, Inc. as Contractor for the Central Energy Plant Controls Upgrade and Replacement Project and authorize the President/Chief Executive Officer to execute a Construction Services Agreement with Johnson Controls, Inc. in the amount of $599,810.

Don Ryden Vice President Planning, Design, and Construction `

Ed Banos George B. Hernández, Jr. Executive Vice President/ President/Chief Executive Officer Chief Operating Officer ~ Univer.· sity ¥ Health

BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS

Tuesday, February 23, 2021

Consideration and Appropriate Action Regarding Participation in the Fifth Year of the Quality Incentive Payment Program (QIPP) for Skilled Nursing Facilities with Licenses Owned by University Health and Managed by Touchstone Communities and Authorizing All Actions in Support Thereof

Background:

University Health currently owns the licenses for four skilled nursing facilities managed by Touchstone Communities: The Heights on Huebner and Stone Oak Care Center (both located in San Antonio), Country Care Manor (located in La Vernia), and The Heights (located in Pleasanton), and has participated in the Quality Incentive Payment Program for Skilled Nursing Facilities (SNF QIPP) since September 1, 2017. The SNF QIPP program is designed to incentivize nursing facilities to improve quality and innovation in the provision of nursing facility services to Medicaid recipients, using the Centers for Medicare & Medicaid Services (CMS) Five-Star Quality Rating System as its measure of success.

Initial program rules were presented to the Board of Managers at the May 16, 2017, meeting along with the request from staff for participation approval in Year 1 of the SNF QIPP program. This approval was granted. Since then, Health System staff has presented several updates to the Board of Managers on evolving program design and performance of our facilities over time. The Board of Managers authorized continued participation in QIPP for Years 2 and 3 at the March 27, 2018 and February 19, 2019 meetings, respectively. Most recently, the Board of Managers authorized continued participation in QIPP for Year 4 last year at the February 25, 2020 meeting. Planning for Year 5 (September 2021 through August 2022) has already begun at the State, and organizations wanting to participate in Year 5 of the program will need to enroll between March 15, 2021 and April 15, 2021. BCHD Board of Managers - Participation in the Fifth Year of the Quality Incentive Payment Program (QIPP) for Skilled Nursing Facilities with Licenses Owned by University Health and Managed by Touchstone Communities and Authorizing All Actions in Support Thereof Tuesday, February 23, 2021 Page 2 of 5

Analysis:

Under the QIPP program, skilled nursing facilities can earn supplemental payments based on improved performance on specific quality indicators. During the initial years of the program (Years 1 & 2), there was a heavy emphasis on metrics utilized by the Centers for Medicare and Medicaid Services’ (CMS) star ratings for nursing facilities. However, based on input from a variety of stakeholders, Texas’ Health & Human Services Commission (HHSC) redesigned the SNF QIPP program in Year 3 (September 2019 through August 2020) to include higher standards for improvement beyond the CMS star rating metrics and widened eligibility requirements to include more Medicaid nursing facility clients. Program requirements in QIPP Year 4 mirrored those in QIPP Year 3. However, HHSC is making slight modifications to the Year 5 requirements to tighten the reporting requirements around the Infection Control reporting requirements. Facilities participating in SNF QIPP are measured against four different components. A list of those components (and a brief summary of performance expectations) include the following:

1. Quality Assurance and Performance Improvement (QAPI) Meetings: SNF holds these meetings monthly 2. Workforce Development: SNF demonstrates compliance with three staffing-related metrics 3. CMS Five-Star Quality Metrics: SNF demonstrates improvement with four quality metrics against quarterly targets (5% improvement each quarter) 4. Infection Control Program: SNF demonstrates improvement/compliance with alternating performance targets over the four quarters of the program year Due to the impact of the COVID-19 pandemic, the Centers for Medicaid and Medicare Services waived certain reporting requirements for nursing facilities effective March 1, 2020 so that those facilities can focus their efforts on quality improvement and infection control. This in turn impacts HHSC’s ability to calculate nursing facility performance under the QIPP program specifically for the category three (3) metrics noted above. Therefore, for the current QIPP year, HHSC has also waived the performance requirements connected to those CMS quality metrics and will continue to do so as long as the COVID-19 Emergency Declaration Blanket Waivers are in place. BCHD Board of Managers - Participation in the Fifth Year of the Quality Incentive Payment Program (QIPP) for Skilled Nursing Facilities with Licenses Owned by University Health and Managed by Touchstone Communities and Authorizing All Actions in Support Thereof Tuesday, February 23, 2021 Page 3 of 5

Quality Note:

University Health staff actively participate in (and help to shape) Touchstone’s existing quality assurance and improvement processes for those SNFs that participate in the SNF QIPP Program and its predecessor program. Expectations by University Health for Touchstone facility participation in and oversight of the quality assurance and performance improvement program were established through our arrangement under the predecessor program and continue today under the SNF QIPP program as that program funding has an even greater connection to the quality performance of each skilled nursing facility. In order to comply with CMS, QIPP, and University Health reporting requirements, Touchstone has a robust internal quality assurance and performance improvement committee in place that University Health Quality Staff participate in each month.

The finalized quality metrics for SNF QIPP Year 5 include the following:

 Percent of high-risk residents with pressure ulcers  Percent of residents who received an antipsychotic medication  Percent of residents whose ability to move independently has worsened  Percent of residents with a urinary tract infection  Percent of residents assessed and appropriately given the pneumococcal vaccine  Percent of residents assessed and appropriately given the seasonal influenza vaccine  Facility has an evidence-based infection control program that includes antibiotic stewardship Although not required under SNF QIPP, University Health has added readmission rate tracking and performance as an additional quality and financial performance metric for Touchstone under this agreement. This adds influence to their ability to continuously improve performance and shows evidence of that to University Health.

Furthermore, University Health clinical leadership also continues to routinely monitor overall performance related to other governmental requirements such as Value Based Purchasing and CMS Star Rating Programs. This is particularly evident in the quarterly leadership meeting minutes to ensure that the facilities are focusing on metrics important to University Health, both related and unrelated to SNF QIPP. BCHD Board of Managers - Participation in the Fifth Year of the Quality Incentive Payment Program (QIPP) for Skilled Nursing Facilities with Licenses Owned by University Health and Managed by Touchstone Communities and Authorizing All Actions in Support Thereof Tuesday, February 23, 2021 Page 4 of 5

Fiscal Impact:

The primary financial obligation for the Health System under this partnership arrangement is to provide the Intergovernmental Transfer (IGT) funds to support the state portion of the supplemental Medicaid payment. The funds are then returned to the Health System through the payments made by the participating managed care organizations (Amerigroup, Molina, and Superior HealthPlan). The Health System recoups the IGT funds as well as fifty percent (50%) of supplemental payments. The other fifty percent of the supplemental payments are paid to Touchstone. These funds are at risk, tied to quality and access measure performance described above. Estimates for IGT funds required for participation in the fourth year have not yet been provided. The total pool amount is anticipated to grow from the current funding levels of $600M to up to $1.1B (per Health and Human Services Commission (HHSC)). If that is the case, staff will accommodate IGT fund requirements and the potential higher reimbursement to be enjoyed in this program. Fortunately, the Health System will receive a return of 10% on the IGT amount submitted and will receive the IGT funds back within several months of transfer.

QIPP Supplemental Payments: Based on first quarter results in QIPP program Year 4, the annual estimated benefit to the Health System for the whole of Year 3, net of IGT, is approximately $1.5M assuming that current performance is indicative of future performance in the program year. The parties are pursuing even better performance for quality care delivery and financial benefit reasons. To the extent that better performance is achieved, the final results figure will be higher by the end of the year. For the Year 5, the Health System is anticipating at this time a similar financial impact to Year 4; however, those results will be dependent on the total funds allocated to the program as well as the number of program participants.

Strategic Note:

University Health continues to assess current performance and environmental trends in the post-acute sector of patient continuum of care. The post-acute environment is a key segment in the continuum of care where selected patients discharged from acute care stays receive additional support in order to continue their healing process and, hopefully, progress toward the ability to live in a home setting. Prevention of readmission is one of several key quality and financial initiatives for University Health as relates to post-acute care. In order to achieve success in this area, University Health is proactively driving initiatives like SNF QIPP participation with BCHD Board of Managers - Participation in the Fifth Year of the Quality Incentive Payment Program (QIPP) for Skilled Nursing Facilities with Licenses Owned by University Health and Managed by Touchstone Communities and Authorizing All Actions in Support Thereof Tuesday, February 23, 2021 Page 5 of 5 the direct partner of Touchstone Communities as well as close interaction with other post-acute provider organizations through our High-Value Post Acute Network (HVPAN) and other initiatives. These tactics should yield the benefit of reducing inappropriate post-acute expenses through more effective management of utilization and to ensure alignment with high-performing providers. They will also enable University Health to remain competitive in the evolving health care services payment environment including evolution toward value-based arrangements like Accountable Care Organizations (ACO) and Clinically Integrated Networks (CIN) for Medicare and other types of payers.

Recommendation:

Staff recommends that the Board of Managers approve participation in the fifth year of the Quality Incentive Payment Program (QIPP) for Skilled Nursing Facilities with Licenses Owned by the Health System and Managed by Touchstone Communities and authorize the President/Chief Executive Officer to execute all actions in support thereof.

______Ted Day Bryan J. Alsip, MD, MPH Executive Vice President, Strategic Executive Vice President, Planning & Business Development Chief Medical Officer

______Reed Hurley George B. Hernández, Jr. Executive Vice President, President/Chief Executive Officer Chief Financial Officer A University V Health BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS

Tuesday, February 23, 2021

Consideration and Appropriate Action Regarding a Contract with Carvajal Incorporated d/b/a Carvajal Pharmacy to Provide Pharmacy Services an the Detention Healthcare Setting

Background:

This is a professional staffing and pharmacy services contract with Carvajal Pharmacy, a reliable contractor since 1988 who has consistently provided exceptional service. The contract requires Pharmacy Service operations to be provided for a total of fifty-five (55) hours per week. A pharmacist is required to be on call seven (7) days a week, twenty-four (24) hours each day to assist with any pharmacological emergencies at the Bexar County Adult and Juvenile Detention Healthcare settings. The contract requires 1.5 full time Registered Pharmacists, 4 Pharmacy Technicians, and one part-time (0.5 FTE) Driver. In addition to pharmaceutical and delivery services provided, the scope of work also includes maintenance of controlled substance stock levels in the dispensing areas for the annex and the main jail and maintenance of a perpetual inventory in the pharmacy for all controlled substances.

Analysis:

Carvajal Pharmacy has consistently provided the best overall value for professional pharmacy services for the Adult and Juvenile Detention Healthcare operations for the following reasons:

1. Provides 24x7 onsite coverage; a requirement for the adult and juvenile detention operations. 2. Provides a full pharmacy operation to include delivery services traveling between 5 clinical/detention locations. 3. Provides the lowest cost for professional staffing and pharmacy services.

The current professional pharmacy services contract with Carvajal Pharmacy allows for an additional two year renewal option. This request is to exercise the contract renewal option BCHD Board of Managers – Contract with Carvajal Incorporated d/b/a Carvajal Pharmacy to Provide Pharmacy Services in the Detention Healthcare Setting Page 2 of 3

Quality Note:

The average number of prescriptions filled is 850-900 daily. Recycled medications are estimated at 60-70 blister packs daily. In addition pharmaceutical and delivery services provided, the scope of work also includes the following:

 Maintenance of controlled substance stock levels in 16 dispensing areas in the annex and the main jail;  Maintenance of perpetual inventory in pharmacy for all controlled substance;  Maintenance of requested diabetic medications in 2 dispensing areas in the annex and the main jail; and  Delivery and/or coordination for delivery of prescriptions for adult and juvenile units.

Fiscal Impact:

The annual contract amount for the renewal period is $340,440. The previous annual contract amount was $309,000. As compared to the previous annual contract amount, there is a $31,440 (10%) increase for the annual renewal contract period. The renewal amount will remain the same for the two-year period for a total amount of $680,880.

This is a planned expense and funding is included in the Annual Operating Budget. The contract shall be for a two-year period term beginning March 1, 2021 and ending February 28, 2023, unless earlier terminated pursuant to the University Health System Standard Purchase Terms and Conditions.

Strategic Note:

Carvajal Pharmacy will continue to provide operational efficiencies within the detention facilities, in a safe and secure manner, achieving the highest level service delivery for quality healthcare and positive clinical outcomes.

Workforce Composition:

Carvajal Pharmacy has a total of 76 employees and is classified as a small minority- owned local business. The Workforce Composition data is as follows: BCHD Board of Managers – Contract with Carvajal Incorporated d/b/a Carvajal Pharmacy to Provide Pharmacy Services in the Detention Healthcare Setting Page 3 of 3

American Asian African Non-Professional Workforce Indian American American Hispanic White Total Female Total 0 0 0 17 4 21 Male Total 0 0 0 5 1 6 Combined Non-Professional Total 0 0 0 22 5 27 American Asian African Professional Workforce Indian American American Hispanic White Total Female Total 0 1 0 22 9 32 Male Total 0 1 1 12 3 17 Combined Professional Total 0 2 1 34 12 49 Total Workforce 0 2 1 56 17 76

Recommendation:

Staff recommends the Board of Managers approve the professional pharmacy service contract with Carvajal Incorporated d/b/a Carvajal Pharmacy at the Detention Healthcare settings in the amount of $680,880 for a two-year period.

Stephanie Stiefer Reed Hurley Vice President/Administrator Executive Vice President/ Detention Health Care Services Chief Financial Officer

Edward Banos George B. Hernández, Jr. Executive Vice President/ President/Chief Executive Officer, Chief Operating Officer University Health System ~ University

~Health

BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS

Tuesday, February 23, 2021

Consideration and Appropriate Action Regarding Purchasing Activities

Background:

University Health’s Purchasing Consent package includes new contracts or modification of existing contracts that require Board of Managers approval. The Purchasing Consent items generally contain supply and third party service contracts that are considered ordinary for daily business operations. Each of the proposed contracts in the Purchasing Consent can be considered by the Board of Managers independently or approved among the other consent agenda items.

Analysis:

The Purchasing Consent package includes a financial summary of items under consideration by the Board of Managers, Attachment A, and includes the categorization of proposed spend of both presented and consent items within the following vendor categories: SMWVBE, Local, or Not-for Profit. A financial summary of the month and year-to-date activities is included. Following the financial summary, the Consideration page provides a list of each item under consideration within the Purchasing Consent. A summary page briefly details the proposed company, category of service or supply being considered, the proposed award amount, and basis of the proposed contract award. Subsequent pages, numbered to follow reference in the summary, provide additional context and detail for each proposed contract within the Purchasing Consent.

Fiscal Impact:

University Health’s Purchasing Consent attachment for the month of February 2021 includes 12 proposed contracts for Board of Managers action. The total requested Board of Managers approval for these 12 contracts is $5,794,506. BCHD Board of Managers: Consent Agenda Purchasing Activities Tuesday, February 23, 2021 Page 2 of 2

Recommendation:

Staff recommends Board of Manager’s approval of Purchasing Consent items in the amount of $5,794,506.

Travis Smith Reed Hurley Deputy Chief Financial Officer Executive Vice President/ Chief Financial Officer

George B. Hernández, Jr. President/Chief Executive Officer SUMMARY OF PURCHASING ACTIVITY ATTACHMENT A A total of 19 contracts with a value of $27,784,485 are being presented to the Board of Managers during the February 2021 meeting. The following contracts require approval by the BCHD Board of Managers 12 Consent Contracts with a total value of $5,794,506 7 Presented Contracts with a total value of $21,989,979 During the month of February 2021 there were 4 contracts classified as a Small, Minority, Woman, or Veteran Owned Business Enterprises (SMWVBE). February 2021 SMWVBE Status Report (reflects items being submitted for Board approval)

Available % Opportunity Proposed SMWVBE % SMWVBE Local SMWVBE Breakout Local Award

Small $ 278,550.00 8.0% Hispanic $ 1,465,358.00 42.2% African American $ - 0.0% $8,480,797 $3,468,908 40.9% $3,160,402 37.3% Asian $ - 0.0% Other/Minority $ 1,725,000.00 49.7% Woman $ - 0.0% Veteran $ - 0.0%

Non-Opportunity Non Profit Local % Local Non Profit Awarded %

$19,303,687 $17,259,811 89.4% $0 0

Board Approved YTD SMWVBE Status Report as of the February 2021 Board of Managers Meeting.

Available % Opportunity SMWVBE % SMWVBE Local SMWVBE Breakout Local Awarded

Small $ 209,660.00 16.9% Hispanic $ 768,487.00 62.0% African American $ - 0.0% $15,503,993 $1,240,409 8.0% $768,487 5.0% Asian $ - 0.0% Other Minority $ 262,262.00 21.1% Woman $ - 0.0% Veteran $ - 0.0% Non-Opportunity % Non Profit Awarded (Non - Local Non Profit Local % CIP)

$11,120,861 $ 5,663,343 50.9% $5,981,043 22.5%

RECOMMEND APPROVAL:

Travis Smith Reed Hurley Deputy Chief Financial Officer Executive Vice President Chief Financial Officer

RECOMMEND APPROVAL:

George Hernández, Jr. President/Chief Executive Officer

3 February 2021 BCHD BOARD OF MANAGERS Tuesday, February 23, 2021 CONSIDERATION OF PURCHASING ACTIVITIES

THE FOLLOWING CONTRACTS ARE PRESENTED FOR APPROVAL BY THE BOARD OF MANAGERS AS CONSENT ITEMS:

TOTAL PAGE COMPANY CATEGORY P.O./CONTRACT# AWARD BASIS AWARD 3M HEALTH CONTRACT FOR INFORMATION SOFTWARE SERVICE 21904102-IE, 4 $24,029 Exempt SYSTEMS, AGREEMENT - 3M Mod #2 INCORPORATED GROUPER

CONTRACT FOR CAPITAL EQUIPMENT - 5 AVASURE, LLC TBD $278,550 Exempt PATIENT MONITORING CAMERAS

GENERAL CONTRACT FOR ELECTRIC 6 CAPITAL EQUIPMENT - TBD $376,759 Exempt, GPO COMPANY DBA VASCULAR OEC C-ARM GE HEALTHCARE

INSIGHT PUBLIC CONTRACT FOR 7 SECTOR, CAPITAL EQUIPMENT - TBD $529,536 Exempt, GPO INCORPORATED HARDWARE SWITCHES

INTRADO CONTRACT FOR INTERACTIVE SOFTWARE SERVICE 21909250-IE, 8 $432,000 Exempt SERVICES AGREEMENT - Mod #1 CORPORATION MAINTENANCE PRESIDIO CONTRACT FOR NETWORKED 9 CAPITAL EQUIPMENT - TBD $1,014,904 Exempt, DIR SOLUTIONS COMPUTER HARDWARE GROUP, LLC

2 THE FOLLOWING CONTRACTS ARE PRESENTED FOR APPROVAL BY THE BOARD OF MANAGERS AS CONSENT ITEMS:

TOTAL PAGE COMPANY CATEGORY P.O./CONTRACT# AWARD BASIS AWARD CONTRACT FOR PRESIDIO CAPITAL EQUIPMENT - NETWORKED 10 INFORMATION TBD $286,750 Exempt, DIR SOLUTIONS TECHNOLOGY GROUP, LLC HARDWARE CONTRACT FOR ROCHE REAGENT, SUPPLY & 11 DIAGNOSTICS 3124014 $368,136 Exempt TESTING AGREEMENT- CORPORATION COVID-19 CONTRACT FOR SIEMENS SERVICE AGREEMENT - 219080224-IE 12 INDUSTRY, $509,086 Exempt, GPO FIRE PREVENTION Mod #2 INCORPORATED EQUIPMENT SIRIUS CONTRACT FOR COMPUTER 13 SOFTWARE SERVICE 22101014-IG $755,044 Exempt, DIR SOLUTIONS, AGREEMENT INCORPORATED

CONTRACT FOR SOFTWARE SERVICE UPTODATE, 14 AGREEMENT - 22101014-IE $586,427 Exempt INCORPORATED PHYSICIAN REFERENCE TOOL

CONTRACT FOR SOFTWARE LICENSE VIZIENT, 15 AGREEMENT - CLINICAL TBD $633,284 Exempt INCORPORATED DATABASE AND RESOURCE MANAGER GRAND TOTAL FOR BOARD APPROVAL $5,794,506

3 BCHD BOARD OF MANAGERS February 2021 4 COMPANY TO BE AWARDED: TOTAL AWARD: CONTRACT PERIOD: 3M Health Information Systems, $24,029 One Year, Three Months Incorporated Your approval is requested to add the TRICARE Grouper module to the 3M Software Grouper agreement. This contract provides implementation, training and the licensing for software that is used for the calculation of inpatient accounts and primary payer type for TRICARE patients. These groupers automatically select the interface that comes into 360 Encompass to be coded. The coding rules and edits are focused on TRICARE DRGs, weights and edits. CATEGORY Software Service Agreement - 3M Grouper COMPETITIVELY BID: AWARD BASIS: Exempt This contract is being awarded as exempt because 3M Health Information Systems, Inc. owns the proprietary rights to this high end technology software.

CONTRACT #: 21904102-IE, Mod #2 FISCAL NOTES: 1. This is a planned expense and operating funds have been included in the Year 2021 Operating Budget. 2. The original contract in the amount of $141,635 was approved April 2019. Modification #1 in the amount of $101,890 added funds to the contract to add the APC Grouper and Medical Dictionary Services. The total value of the contract with Modification #2 is $267,554 and cumulatively exceeds the $250,000 staff approval threshold thereby requiring Board review and approval.

3. As compared to the previous contract value there is an increase of 9.9%, $24,029, due to the addition of the TRICARE grouper software licensing, implementation and training. Contract Vendor Start Date Term Date Total Amonnt # of Years Contract Value % change Original & Mod l 3M Health Information System, 6/5/201 9 6/4/2022 $ 24 3,525 3 $ 243,525 Proposed Moci #2, Add Funds for Svcs 2/24/2021 6/4 022 $ 24,029 L25 $ 267,554 Tota] Contract Value $ 267,554 Contract Increase 9.9¾ SUPPLIER DIVERSITY: 1. 3M Health Information Systems, Incorporated has an Affirmative Action Policy in effect. 2. 3M Health Information Systems has a total of 34,710 employees. The Workforce Composition Data is as follows: American Asian African Category Hispanic White Indian American American # % # % # % # % # % Non Professional 129 0.4% 992 2.9% 1,146 3.3% 1,205 3.5% 13,268 38.2% Professional 74 0.2% 1,241 3.6% 578 1.7% 726 2.1% 15,351 44.2% Total 203 0.6% 2,233 6.5% 1,724 5.0% 1,931 5.6% 28,619 82.4%

4 BCHD BOARD OF MANAGERS February 2021 5 COMPANY TO BE AWARDED: TOTAL AWARD: CONTRACT PERIOD: AvaSure, LLC $278,550 N/A, Capital Your approval is requested for the purchase of 25 new patient monitoring cameras and software. The current AvaSys video monitoring cameras have reached their end of live and the software will no longer be supported. The new cameras come with advanced features for staff to observe, communicate and access devices in each patient room via the software. University Health will be trading-in current cameras for an offset in price.

CATEGORY Capital Equipment - Patient Monitoring Cameras

COMPETITIVELY BID: AWARD BASIS: Exempt This contract is being awarded as exempt because University Health has standardized to these cameras and AvaSure owns the proprietary rights to this high end technology solution

PURCHASE ORDER # TBD FISCAL NOTES: 1. Capital funds are available for this acquisition. This is a priority item on the 2021 Routine Capital List.

SUPPLIER DIVERSITY: 1. AvaSure, LLC does not have an Affirmative Action Policy in effect. However, the vendor has provided a copy of their Equal Opportunity Statement and Policy. 2. AvaSure, LLC is classified as a SMWVBE vendor. 3. AvaSure, LLC has a total of 159 employees. The Workforce Composition Data is as follows: Asian African Category Hispanic White American American # % # % # % # % Non Professional 0 0.0% 2 1.3% 2 1.3% 36 22.6% Professional 4 2.5% 4 2.5% 4 2.5% 107 67.3% Total 4 2.5% 6 3.8% 6 3.8% 143 89.9%

5 BCHD BOARD OF MANAGERS February 2021 6 COMPANY TO BE AWARDED: TOTAL AWARD: CONTRACT PERIOD: General Electric Company dba GE $376,759 N/A, Capital Healthcare Your approval is requested for the purchase of an OEC Elite Vascular Touch C-Arm. This purchase will allow Interventional Radiology (IR) to continue providing and expanding services critical to the University Health's mission. Using fluoroscopy guidance imaging equipment and catheter based procedures, radiologist and nuero- surgeons treat an ever widening range of conditions. These services provide alternatives to open surgical treatment of many injuries and conditions and often eliminate or minimize hospital stays. With the conventional C-Arm currently in-use we are limited to line placements and tube exchanges. The new equipment will allow University Health to increase capacity and perform complex procedures such as gastrostomy tube placements, fistula grams, nephrostomy placements and lumbar punctures. It will also allow the IR team the ability to perform fluoroscopy guided procedures and expand IR procedures overall.

CATEGORY Capital Equipment - Vascular OEC C-Arm

COMPETITIVELY BID: AWARD BASIS: Exempt, GPO This contract is being awarded based on the best value, which includes favorable Group Purchasing Organization pricing.

PURCHASE ORDER # TBD FISCAL NOTES: 1. Capital funds are available for this acquisition. This is a priority item on the 2021 Routine Capital List.

SUPPLIER DIVERSITY: 1. General Electric Company dba GE Healthcare has an Affirmative Action Policy in effect. 2. General Electric Company dba GE Healthcare has a total of 1,688 employees. The workforce Composition Data is as follows: Asian African Category Hispanic White American American # % # % # % # % Non Professional 37 2.2% 18 1.1% 9 0.5% 201 11.9% Professional 174 10.3% 64 3.8% 65 3.9% 1,120 66.4% Total 211 12.5% 82 4.9% 74 4.4% 1,321 78.3%

6 BCHD BOARD OF MANAGERS February 2021 7 COMPANY TO BE AWARDED: TOTAL AWARD: CONTRACT PERIOD: Insight Public Sector, Incorporated $529,536 N/A, Capital Your approval is requested for the purchase of Cisco 9300 switches. This purchase will replace switches in the Sky Tower that will no longer be supported after October 2021. This replacement maintains protection from security vulnerabilities, supports and identifies any hardware or software failures, and improves network speed and services. CATEGORY Capital Equipment - Hardware Switches

COMPETITIVELY BID: AWARD BASIS: Exempt, GPO This contract is being awarded based on the best value, which includes favorable Group Purchasing Organization pricing.

PURCHASE ORDER # TBD FISCAL NOTES: 1. Capital funds are available for this acquisition. This is a priority item on the 2021 Routine Capital List.

SUPPLIER DIVERSITY: 1. Insight Public Sector, Incorporated has an Affirmative Action Policy in effect. 2. Insight Public Sector, Incorporated has a total of 3,712 employees. The Workforce Composition Data is as follows: American Asian African Category Hispanic White Indian American American # % # % # % # % # % Non Professional 37 1.0% 103 2.8% 322 8.7% 207 5.6% 1,421 38.3% Professional 64 1.7% 90 2.4% 229 6.2% 98 2.6% 1,141 30.7% Total 101 2.7% 193 5.2% 551 14.8% 305 8.2% 2,562 69.0%

7 BCHD BOARD OF MANAGERS February 2021 8 COMPANY TO BE AWARDED: TOTAL AWARD: CONTRACT PERIOD: Intrado Interactive Services $432,000 Three Years Corporation Your approval is requested for the renewal of the SMS Smart Text software agreement. This software is an Epic requirement that provides patient-centered communications and creates meaningful patient-provider interactions across the care continuum. Using a combination of phone calls, text messages, and emails ensures outreach success of each patient’s preferred communication type to confirm an appointment reminder. The Intrado system is easily-integrated as a single source for automated phone calls, text messages, and mailed outreach for communication strategies that compel patients to respond and stay on track in their ongoing care. CATEGORY Software Service Agreement - Maintenance

COMPETITIVELY BID: AWARD BASIS: Exempt This contract is being awarded as exempt because Intrado Interactive Services Corporation owns the proprietary rights to this high end technology software. CONTRACT #: 21909250-IE, Mod #1 FISCAL NOTES: 1. This is a planned expense and operating funds have been included in the Year 2021 Operating Budget. 2. The original contract in the amount of $114,000 was approved August 2019. The total value of the contract with Modification #1 is $546,000. 3. As compared to the previous annual contract, there is an increase of 26.32%, $30,000, due to an increase in SMS text notification volume, which has increased 100% from 50,000 to 100,000 per month. Contract Vendor Start Date Term Date Total Amount # of Years Annual Cost % change Original Intrado Interactive Services Cor 9/16/2019 9/15/2020 $ 114,000 1 $ 114,000 Proposed Intrado Interactive Services Cor 9/16 020 9/1 5 023 $ 432,000 3 $ 144,000 Ave Increase/Decrease per Contract Year $ 30,000 26.32% SUPPLIER DIVERSITY: 1. Intrado Interactive Services Corporation has an Affirmative Action Policy in effect. 2. Intrado Interactive Services Corporation has a total of 381 employees. The Workforce Composition Data is as follows: American Asian African Category Hispanic White Indian American American

# % # % # % # % # % Non Professional 1 0.3% 15 3.9% 42 11.0% 5 1.3% 213 55.9% Professional 0 0.0% 6 1.6% 5 1.3% 0 0.0% 79 20.7% Total 1 0.3% 21 5.5% 47 12.3% 5 1.3% 292 76.6%

8 BCHD BOARD OF MANAGERS February 2021 9 COMPANY TO BE AWARDED: TOTAL AWARD: CONTRACT PERIOD: Presidio Networked Solutions Group, $1,014,904 N/A, Capital LLC Your approval is requested for the purchase of new Cisco UCS blade servers, blade server enclosures and fabric interconnects. This purchase will replace existing equipment that will no longer be supported after 2021. The purchase is required to ensure that all critical infrastructure servers are supported and maintained properly This purchase will replace the servers used for the Citrix environment which supports 3rd party applications and remote users. CATEGORY Capital Equipment - Computer Hardware

COMPETITIVELY BID: AWARD BASIS: Exempt, DIR This contract is being awarded based on the best value, which includes favorable pricing utilizing State of Texas Department of Information Resources (DIR Contract).

PURCHASE ORDER # TBD FISCAL NOTES: 1. Capital funds are available for this acquisition. This is a priority item on the 2021 Routine Capital List. SUPPLIER DIVERSITY: 1. Presidio Networked Solutions Group, LLC has an Affirmative Action Policy in effect. 2. Presidio Networked Solutions Group, LLC has a total of 2,679 employees. The Workforce Composition Data is as follows: American Asian African Category Hispanic White Indian American American # % # % # % # % # % Professional 6 0.2% 139 5.2% 190 7.1% 43 1.6% 2,011 75.1% Total 6 0.2% 139 5.2% 190 7.1% 43 1.6% 2,011 75.1%

Category Other # % Professional 290 10.8% Total 290 10.8%

9 BCHD BOARD OF MANAGERS February 2021 10 COMPANY TO BE AWARDED: TOTAL AWARD: CONTRACT PERIOD: Presidio Networked Solutions Group, $286,750 N/A, Capital LLC Your approval is requested to purchase Information Technology hardware that secures internet traffic for University Health. Limited detail is provided in this summary to ensure optimal level of security. CATEGORY Capital Equipment - Information Technology Hardware

COMPETITIVELY BID: AWARD BASIS: Exempt, DIR This contract is being awarded based on the best value, which includes favorable pricing utilizing State of Texas Department of Information Resources (DIR Contract). PO #: TBD

FISCAL NOTES: 1. Capital funds are available for this acquisition. This is a priority item on the 2021 Routine Capital List. SUPPLIER DIVERSITY: 1. Presidio Networked Solutions Group, LLC has an Affirmative Action Policy in effect. 2. Presidio Networked Solutions Group, LLC has a total of 2,679 employees. The Workforce Composition Data is as follows: American Asian African Category Hispanic White Indian American American # % # % # % # % # % Professional 6 0.2% 139 5.2% 190 7.1% 43 1.6% 2,011 75.1% Total 6 0.2% 139 5.2% 190 7.1% 43 1.6% 2,011 75.1% Category Other # % Professional 290 10.8% Total 290 10.8%

10 BCHD BOARD OF MANAGERS February 2021 11 COMPANY TO BE AWARDED: TOTAL AWARD: CONTRACT PERIOD: Roche Diagnostics Corporation $368,136 N/A, PO Your approval is requested for the purchase of COVID-19 testing supplies to be used on the Roche COBAS 6800 instrument. This request will assist Microbiology in keeping up with demand in testing volume for COVID-19 and other diseases and infections. The need for a follow up order will be evaluated as the pandemic progresses. CATEGORY Reagent, Supply & Testing Agreement- COVID-19

COMPETITIVELY BID: AWARD BASIS: Exempt This purchase is being considered as exempt because these supplies are used on the COBAS instrument and Roche has the proprietary rights to these instruments. PURCHASE ORDER # 3124014 FISCAL NOTES: 1. This is a planned expense and operating funds have been included in the Year 2021 Operating Budget. SUPPLIER DIVERSITY: 1. Roche Diagnostics Corporation has an Affirmative Action Policy in effect. 2. Roche Diagnostics Corporation has a total of 2,262 employees. The Workforce Composition Data is as follows: American Asian African Category Hispanic White Indian American American # % # % # % # % # % Non Professional 7 0.3% 62 2.7% 91 4.0% 99 4.4% 1,404 62.1% Professional 0 0.0% 22 1.0% 44 1.9% 12 0.5% 479 21.2% Total 7 0.3% 84 3.7% 135 5.9% 111 4.9% 1,883 83.3%

11 BCHD BOARD OF MANAGERS February 2021 12 COMPANY TO BE AWARDED: TOTAL AWARD: CONTRACT PERIOD: Siemens Industry, Incorporated $509,086 Five Year Your approval is requested for a modification to add services and preventative maintenance to the fire alarm and sprinkler agreement. This modification will add preventative maintenance and service to the SE Training Annex, Edgewood Clinic, RBG Annex fire alarm and sprinkler system. It also adds Air Handler Unit testing for the Rio Tower, RBG Historical A, South Garage, Tech Center, and West Parking Garage. CATEGORY Service Agreement - Fire Prevention Equipment

COMPETITIVELY BID: AWARD BASIS: Exempt, GPO This contract is being awarded based on the best value which includes favorable Group Purchasing Organization pricing

CONTRACT #: 219080224-IE Mod #2

FISCAL NOTES: 1. This is an unplanned expense, but there are enough funds to cover this in the Year 2021 Operating Budget. 2. The original contract in the amount of $4,645,742 was approved by the Board of Managers in August, 2019. Modification #1 in the amount of $200,000 added funding to add locations to the agreement. The total value of the contract with Modification #2 is $5,354,828. 3. As compared to the previous contract value there is an increase of 10.5%, 509,086 due to the addition of locations and fire and life safety services. Contract Vendor Start Date Term Date Total Amount # of Years Contract Value % change Original & Mod 1 Siemens Industry, Inc. 9/112019 8/3112024 $4,845,742 5 $ 4, 84 5,742- Proposed fod._ #2-, Add Fundsfor Svcs 2123/2021 8/3112-024 $ 509,086 3.5 $5,354,828 Total Contract Value $ 5.354.828 Contract Increase 10.5%

SUPPLIER DIVERSITY: 1. Siemens Industry Incorporated has an Affirmative Action Policy in effect. 2. Siemens Industry Incorporated has a total of 69 employees. The Workforce Composition Data is as follows: American Asian African Category Hispanic White Indian American American # % # % # % # % # % Non Professional 1 1.4% 0 0.0% 1 1.4% 25 36.2% 16 23.2% Professional 0 0.0% 1 1.4% 2 2.9% 8 11.6% 14 20.3% Total 1 1.4% 1 1.4% 3 4.3% 33 47.8% 30 43.5%

Category Other # % Non Professional 1 1.4% Professional 0 0.0% Total 1 1.4%

12 BCHD BOARD OF MANAGERS February 2021 13 COMPANY TO BE AWARDED: TOTAL AWARD: CONTRACT PERIOD: Sirius Computer Solutions, Incorporated $755,044 One Year Your approval is requested for the purchase of detection and cybersecurity software. Limited detail is provided in this summary to ensure optimal level of security.

CATEGORY Software Service Agreement COMPETITIVELY BID: AWARD BASIS: Exempt, DIR This contract is being awarded based on the best value, which includes favorable pricing utilizing State of Texas Department of Information Resources (DIR Contract).

CONTRACT # 22101014-IG FISCAL NOTES: 1. This is a planned expense and operating funds have been included in the Year 2021 Operating Budget. 2. This is a new contract. SUPPLIER DIVERSITY: 1. Sirius Computer Solutions, Incorporated has an Affirmative Action Policy in effect. 2. Sirius Computer Solutions, Incorporated has a total of 2,348 employees., The Workforce Composition Data is as follows: American Asian African Category Hispanic White Indian American American # % # % # % # % # % Non Professional 1 0.0% 17 0.7% 32 1.4% 103 4.4% 259 11.0% Professional 10 0.4% 145 6.2% 77 3.3% 110 4.7% 1,594 67.9% Total 11 0.5% 162 6.9% 109 4.6% 213 9.1% 1,853 78.9%

13 BCHD BOARD OF MANAGERS February 2021 14 COMPANY TO BE AWARDED: TOTAL AWARD: CONTRACT PERIOD: UpToDate, Incorporated $586,427 One Year Your approval is requested for the renewal of the UpToDate software licensing agreement. This software is used by physicians as a clinical decision support resource designed to improve patient care. UpToDate provides comprehensive clinical information on Adult Primary Care, Allergy, Immunology, Cardiovascular, Endocrinology, Diabetes, Family Medicine, Gastroenterology, Hematology, Infectious Diseases, Nephrology, OB, Oncology, Pulmonary, and Rheumatology.

CATEGORY Software Service Agreement - Physician reference tool

COMPETITIVELY BID: AWARD BASIS: Exempt This contract is being awarded as exempt because UpToDate, Inc. owns the proprietary rights to this high end technology software. CONTRACT #: 22101014-IE

FISCAL NOTES: 1. This is a planned expense and operating funds have been included in the Year 2021 Operating 2 Budget.This is a new contract with the same vendor. Compared to the previous contract there is an average annual increase of 11.17%, $58,932, due to an increase in the number of clinicians, students and residents using the tool due to the success of the patient education program. Contract Vendor Start Date Tenn Date Tota] Amollllt # ofYemiAnnuaJ Cost % change Origina] UpToDate, Inoorpomfied 3/1 020 2/28 021 $ 527,495 1 $. 527,495

Pmpooed pT0Date0 Inoorpomfied 3/ lt2021 2/28/2022 $ 586,427 1 $. 586,427 Ave Increase/Decrease per ·Contra.ot Ye.u: $. 58,932 11.17% SUPPLIER DIVERSITY: 1. UpToDate, Incorporated has an Affirmative Action Policy in effect. 2. UpToDate, Incorporated has a total of 892 employees. The Workforce Composition Data is as follows: Asian African Category Hispanic White American American # % # % # % # % Non Professional 5 0.6% 13 1.5% 4 0.4% 156 17.5% Professional 103 11.5% 18 2.0% 17 1.9% 576 64.6% Total 108 12.1% 31 3.5% 21 2.3% 732 82.1%

14 BCHD BOARD OF MANAGERS February 2021 15 COMPANY TO BE AWARDED: TOTAL AWARD: CONTRACT PERIOD: Vizient, Incorporated $633,284 Three Years Your approval is requested for a new three year clinical database and resource manager licensing software service agreement. This software is used to calculate and compare quality and efficiency metrics with other Teaching Hospitals. University Health and University of Texas Health Science Center at San Antonio will split the total cost for the license agreement. CATEGORY Software License Agreement - Clinical Database and Resource Manager

COMPETITIVELY BID: AWARD BASIS: Exempt This contract is being awarded as exempt because Vizient has proprietary rights to this high end technology that University Health has standardized to. CONTRACT #: TBD FISCAL NOTES: 1. This is a planned expense and operating funds have been included in the Year 2021 Operating 2. Budget.This is a new contract with the same vendor. Compared to the previous contract there is an average annual increase of 26.65%, $44,413, due to an increase in price from the vendor. The annual increase was negotiated to be capped at 3% per year compared to 27% of the final year of the previous contract. The cost of the final year of the previous contract was $198,919 Contract Vendor Start Date Tenn Date Tota] Amount # ofYear1Annua] Cost % change

Origina] Vment, fuoorporatted 4/lt201 l8 3/31t20121 $. 500,0QO 3 $. 166,667

Pmposed Vment, fucorporatted 4/lt2Qi21 3/31t20124 $. 633,240 3 $. 211,.080 A v;e fucrease/Decrease pe£ ·Contraot Year $. 44,413 2,6.65% SUPPLIER DIVERSITY: 1. Vizient, Incorporated does not have an Affirmative Action Policy in effect. However, the vendor has provided a copy of their Equal Opportunity Statement and Policy. 2. Vizient, Incorporated has a total of 3,661 employees. The Workforce Composition Data is as follows: American Asian African Category Hispanic White Indian American American # % # % # % # % # % Non Professional 0 0.0% 6 0.2% 35 1.0% 16 0.4% 110 3.0% Professional 16 0.4% 433 11.8% 345 9.4% 178 4.9% 2,522 68.9% Total 16 0.4% 439 12.0% 380 10.4% 194 5.3% 2,632 71.9%

15 BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS

Tuesday, February 23, 2021

Consideration and Appropriate Action Regarding a Contract Amendment with Henock Construction, LLC for Interior Renovations at University Health - Southeast

Background: This request is to purchase labor and material for the continuation to the overall renovation of the University Health – Southeast (formerly University Family Health Center - Southeast). The clinic facility is being renovated to meet current University Health standards to provide the highest quality and customer service experience to our visitors and patients. The project was bid and Henock Construction, LLC was awarded the construction contract and commenced work in April of 2020. During construction the project delivery team under the guidance of Executive Leadership agreed additional renovations and best practices could be provided with continuation of modifications to the project.

The original scope of work for the project included:  Renovation of all public corridors on the 1st and 2nd floors;  Renovation of public restrooms on the 1st and 2nd floors;  Renovation of the main atrium on 1st floor;and  Renovation of all patient waiting areas on 1st and 2nd floors and pharmacy and lab waiting areas. Analysis: The work with expanded scope included in this request involves renovations to the two Family Medicine clinical units located in the South portion of the 1st floor and will include the following scope:

1) Exam rooms – replace existing laminate countertops with new solid surface tops, new flooring and base, new ceiling, new LED lights, patch, repair and paint walls. 2) Corridors – new flooring and base, new ceiling grid & ceiling tiles, new LED lights, and patch, repair and paint walls. 3) Nurses stations – new solid surface countertops, new ceiling grid & ceiling tiles, new LED lights, and patch, repair and paint walls. 4) Single Staff and Patient restrooms – renovate in its entirety to match current standard finishes and fixtures. BCHC Board of Managers Contract Amendment with Henock Construction, LLC for Interior Renovations at University Health – Southeast Tuesday, February 23, 2021 Page 2 of 3

5) Extended General Conditions for the contactor as the project schedule will be extended by three months due to the additional scope.

The cost for these additional renovations is $784,478.

Fiscal Impact:

Project Budget Summary Scope Cost Design Services $ 55,392 Pre-Construction Services $ 35,522 Furniture $ 221,484 Construction Services $ 1,147,210 Additional Construction Services (This request) $ 784,478 Total $ 2,244,086

Base Contract Previous Changes This Amendment Total Contract $1,113,806 $33,404 $784,478 $1,931,688 This amendment will be funded from 2021 Operational Funds

Quality Note:

The Contractor will provide services that will optimize the use of available funds while providing the highest quality construction within the established project schedule and budget.

Staff has reviewed the Henock Construction, LLC. pricing for additional construction services and recommends approval of their proposal in the amount of $784,478.

Strategic Note:

This project will support staff in achieving the Triple Aim Plus objectives, since it will improve efficiencies in the maintenance of the facility, safety, and a positive impact on quality and outcomes. BCHC Board of Managers Contract Amendment with Henock Construction, LLC for Interior Renovations at University Health – Southeast Tuesday, February 23, 2021 Page 3 of 3

Community Outreach Plan/Workforce Composition

Henock Construction has a total of 11 employees. The workforce composition data is as follows: American Asian African Non—Professional Hispanic White Subtotal Indian American American Female 0 0 0 2 0 2 Male 0 0 0 8 0 8 Non-Professional Total 0 0 0 10 0 10 0% 0% 0% 91% 0% 91% American Asian African Professional Hispanic White Subtotal Indian American American Female 0 0 0 0 0 0 Male 0 0 0 1 0 1 Professional Total 0 0 0 1 0 1 0% 0% 0% 9% 0% 9% American Asian African TOTAL Hispanic White TOTAL Indian American American 0 0 0 11 0 11 0% 0% 0% 100% 0% 100%

Recommendations:

Staff recommends the Board of Managers approve the additional scope and authorize the President/Chief Executive Officer to execute a contract amendment with Henock Construction, Inc. in the amount of $784,478.

Don Ryden Vice President Planning, Design, and Construction

Ed Banos George B. Hernández, Jr. Executive Vice President/ President/Chief Executive Officer Chief Operating Officer BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS

Tuesday February 23, 2021

January 2021 Financial Report

In January, clinical activity (as measured by inpatient discharges) was down 8.6% for the month compared to budget. On a consolidated basis, gain from operations was $24.0 million, $16.4 million better than budget. The consolidated bottom line gain (before financing activity) was $17.4 million, $16.6 million better than the budgeted loss of $791 thousand. Higher patient revenue and supplemental revenues combined with lower operating expenses resulted in performance better than budget. CFHP experienced a bottom line gain of $10.7 million which was $10.4 million better than the budgeted gain of $209 thousand. Lower claims expense and purchased service expense accounted for the performance to budget.

Debt service revenue was $6.1 million which matched budget. Notable increases or decreases from the December 31, 2020 Consolidated Balance Sheet (Monthly Financial Report page 2) are as follows:

 Cash, cash equivalents and long term investments increased $95.0 million due primarily to the collection of property taxes and the collection of provider taxes for the LPPF.  Board designated accounts increased $128 thousand due primarily to interest earnings  Restricted accounts related to the bond proceeds and payments increased $10.2 million due primarily to the collection of property tax for debt service and interest income.  Net property, plant and equipment increased $1.8 million as capitalized purchases exceeded depreciation expense. Capital assets placed in service increased $4.8 million. CIP project in progress increased $6.4 million. Regular capital in progress decreased $2.1 million, primarily due to the Epic project. Accumulated depreciation increased $7.3 million.  Accounts payable increased $6.9 million due primarily to the net of higher amounts due to the new liability for LPPF $14.3 million and to fund Medicaid supplemental service obligations $402 thousand and lower amounts due to vendors $7.8 million.  University Health’s Net Asset Value increased $20.9 million on a Generally Accepted Accounting Principles (GAAP) basis including debt service tax revenue, Build America Bonds (BABs) subsidy and interest expense on bonds.  Financial performance for the year is subject to audit.

Significant items to note from the Monthly Consolidated Statement of Revenues and Expenses (Monthly Financial Report page 3) include the following: BCHD Board of Managers - January 2021 Financial Report Tuesday, February 23, 2021 Page 2

Actual to Budget (Dollars in 000's) MTDII PlanII Variance Operating Gain $24,047 $7,622 $16,425 Depreciation Expense ($7,270) ($7,570) $300 Other Non-operating $602 $739 ($137) Bottom Line $17,379 $791 $16,588

 Net patient revenue was up $2 million in January, driven by valuing patient receivables based on historical model of performance.  Other operating revenue was over budget $3.9 million for January due to higher CFHP premium revenue exceeding budget by $881 thousand, UC revenue up $842 thousand, NAIP revenue up $1.3 million, DSH revenue up $911 thousand, and SNF revenue up $996 thousand and lower other revenue $1.1 million.  Employee compensation was over budget $1.9 million or 3.0% for January. Employee compensation was over budget $218 thousand due to overtime and benefits were over budget $1.6 million due primarily to employee health costs.  Purchased services were under budget $2.3 million or 9.2% for the month due to lower than budget management fees $2.0 million and equipment repair costs $972 thousand and higher Epic optimization costs $1.0 million  Supply costs were under budget $1.8 million or 7.0% in January. The savings to budget was principally driven by Pharmaceuticals being under budget by $1.1 million, Implants under by $951 thousand, offset by Medical Supplies being over budget by $282 thousand.  Gain from operations in January of $24.0 million was $16.4 million better than the budgeted gain of $7.6 million.  Investment income was over budget $154 thousand in January due to higher interest rates and higher account balances.  Unrealized loss on investments was $568 thousand due to rising interest rates in January.  Gain before financing activity of $17.4 million was $16.6 million better than the budgeted gain of $791 thousand in January.

Exhibit A is provided to reflect the consolidating financial summary of University Health less CFHP and CFHP.

Thank you.

______Reed Hurley George B. Hernández, Jr. Executive Vice President/CFO President/Chief Executive Officer BCHD Board of Managers - January 2021 Financial Report Tuesday, February 23, 2021 Page 3

Exhibit A University Health Consolidated Financial Summary January 2021 (Dollars in 000's) UHS less CFHP CFHP Consolidated Operating Revenue $136,897 $54,926 $191,823 Operating Expense $123,397 $44,379 $167,776 Operating Gain (Loss) $13,499 $10,548 $24,047 Depreciation Expense ($7,141) ($129) ($7,270) Other Non Operating $369 $233 $602 Bottom Line $6,728 $10,651 $17,379 Budget $582 $209 $791 Budget Variance $6,146 $10,442 $16,588 •

• THINKING I BEYOND I Financial Report

Presented to the Bexar County Hospital District Board of Managers

Tuesday, February 23, 2021

Reed Hurley, Chief Financial Officer January Inpatient Discharges

MTD Inpatient Discharges

Budget 2,584

-8.6% Actual 2,363

-10.9%

Prior Yr 2,652

- 500 1,000 1,500 2,000 2,500 3,000

~ University 2 ..- Health January 2021 Actual to Budget (Dollars in 000's) MTD Plan Variance Operating Gain $24,047 $7,622 $16,425 Depreciation Expense ($7,270) ($7,570) $300 Other Non-operating $602 $739 ($137) Bottom Line $17,379 $791 $16,588

~ University 3 ..- Health January Consolidating Financial Summary (Dollars in 000's) UHS less CFHP CFHP Consolidated Operating Revenue $136,897 $54,926 $191,823 Operating Expense $123,397 $44,379 $167,776 Operating Gain (Loss) $13,499 $10,548 $24,047 Depreciation Expense ($7,141) ($129) ($7,270) Other Non Operating $369 $233 $602 Bottom Line $6,728 $10,651 $17,379 Budget $582 $209 $791 Budget Variance $6,146 $10,442 $16,588

~ University 4 ..- Health Crosswalk Actual to Budget ($’s in millions)

January 2021 Budgeted Bottom Line $0.8 Revenue Impacts Net Patient Revenue $2.0 CFHP Premium Revenue $0.9 PropertySupplemental Taxes Revenues (DSRIP, DSH, GME, UC, & NAIP) $0.0$4.2 Other Operating Revenue ($1.1) Net Other Changes ($0.1) Revenue Variance to Budget $5.9 Operating Expense Impacts Purchased Services $2.3 CFHP Claims Expense $7.5 Pharmaceuticals $1.1 Employee Compensation ($1.9) Medical Services $0.7 Medical Supply $0.7 Net Other Expense Changes $0.1 Operating Expense Variance to Budget $10.5 Non-Operating Expense Impacts Investment Income $0.3 Depreciation and Amortization $0.3 Unrealized Gain/Loss ($0.4) Non-Operating Expense Variance to Budget $0.2 ~ University 5 Bottom Line Reported $17.4 ..- Health Monthly Financial Performance

Bottom Line Budgeted (Actual vs Budget) □ ($ in 000s) ■ Actual

$25,000

$20,000

$15,000

$10,000

$5,000

$0

-$5,000 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total Budgeted $791 $1,641 $1,646 $2,052 $2,538 $2,578 $3,426 $2,944 ($71) ($141) $1,392 $1,606 $20,402 Actual $17,379 $17,379

~ University 6 ..- Health OPINION Larson: Past time for Texas to expand Medicaid Lyle Larson, For the Express-News Feb. 3, 2021 Updated: Feb. 3, 2021 11:07 a.m.

Say you were told that every dollar you contribute toward a cause would be matched with $9. Sounds like a pretty good deal, doesn’t it?

This is the deal Texas is forgoing by refusing to expand Medicaid. If we elected to expand Medicaid, the federal government would provide $9 for every $1 of state funding we put in. As it stands, we are forgoing 90 percent of federal matching funds — this is money Texans have already paid to the federal government that we are not accessing.

According to a study by the Bush School of Government and Public Service at Texas A&M University, expanding Medicaid would result in an increase of $5.4 billion in new federal funds into state coffers annually, while providing health insurance to 1 million low-income Texans.

When folks who don’t quite qualify for Medicaid need routine medical care, visiting an emergency room is often their only option. Using an emergency room for primary care is the most expensive way to obtain health care. When patients don’t have a way to pay for the services they receive, local taxpayers pick up the tab. Medicaid expansion would significantly reduce this uncompensated cost.

According to economist Ray Perryman, Medicaid expansion would have a massive positive economic impact on our state. With an increase in health-related spending, reduced uncompensated care costs and rises in productivity, Texas would experience gains of $45.3 billion in gross product and $29.4 billion in personal income for the 2022-23 biennium.

Medicaid expansion would benefit more than just urban areas in Texas. The percentage of populations that lack health care coverage are higher in rural parts of the state than in urban areas. This has resulted in the closure of more than 20 rural hospitals throughout Texas in the past 10 years. The COVID-19 pandemic has taken a terrible financial toll across industries. Many folks who lost their jobs as a result of the pandemic also find themselves without health care coverage as a vicious virus courses through our state. According to an Urban Institute study, Texas’ uninsured rate could have decreased nearly 25 percent had Medicaid been expanded, helping folks who need coverage in this critical time.

Texas is one of just 12 states that has not expanded Medicaid, though we have the highest number of uninsured folks in the nation. In recent years, voters in red states (Idaho, Utah, Nebraska, Oklahoma and Missouri) have elected to expand Medicaid. A recent poll conducted statewide found that 64 percent of Texans favor expanding Medicaid.

The Legislature can develop a Medicaid expansion plan that is custom fit for Texas. It could include work requirements and cost-sharing through premiums and copayments. It could also come with reforms to prevent fraud. Several of the red states that have expanded Medicaid in recent years offer templates and ideas for Texas to use to customize the terms of Medicaid expansion.

Refusing to expand Medicaid is a bad business decision for Texas. We have an opportunity this legislative session to fix this. If the Legislature approves, we can allow Texans to decide whether to expand Medicaid in a ballot initiative.

We recapture the taxes Texans pay to the federal government for education, highways and public safety. We transformed education for future generations last session. We must change the future in health care this session for the same future generations.

Lyle Larson, R-San Antonio, represents part of San Antonio in the Texas House of Representatives. 117th Congress

THE BUDGET RESOLUTION AND RECONCILIATION: AN ALTERNATIVE PATH FOR THE AMERICAN RESCUE PLAN February 1, 2021

The coronavirus pandemic and economic fallout are destroying lives and livelihoods across the country. The United States continues to set record high infection and death rates, and our economy has endured lows unseen since the Great Depression. Millions of Americans remain out of work as families are pushed to the brink of devastation. Food insecurity is climbing, widespread school closures threaten to derail our children’s education, and our most vulnerable communities are being forced to bear the brunt of these twin crises as underlying health and economic inequities get worse.

Congress’ bipartisan action in December was a step in the right direction, but it was only a long-delayed down payment. The American people cannot afford any more delays. Republican stalling already caused a painful lapse in critical unemployment assistance last year, and with additional unemployment assistance set to expire in March, Congress must create a failsafe to prevent more needless suffering. While Democrats work toward a bipartisan agreement, it would be irresponsible to not lay the groundwork for other legislative tools. As negotiations continue, the 2021 budget resolution will provide another option: using reconciliation to achieve the goals outlined in President Biden’s American Rescue Plan. This will ensure Congress can meet the needs of the American people and move our nation forward with or without Republican cooperation. HIGHLIGHTS OF THE AMERICAN RESCUE PLAN

The President's American Rescue Plan takes a multiprong approach to tackling the public health and economic crises stemming from the COVID-19 pandemic.

• Beat the virus and safely reopen schools — The plan will mount a national vaccination program that includes setting up community vaccination sites nationwide. It will also take complementary measures to combat the virus, including scaling up testing and tracing, addressing shortages of personal protective equipment and other critical supplies, investing in high-quality treatments, and addressing health care disparities. The plan will also make the investments necessary to safely reopen schools.

HOUSE BUDGET COMMITTEE, CHAIRMAN JOHN YARMUTH 1 117th Congress

Deliver immediate relief to working families bearing the brunt of the crisis — The plan will provide direct assistance to households across America by $1,400 per person, bringing the total (including the $600 down payment enacted in December) to $2,000. The plan will also provide direct housing and nutrition assistance to families struggling to get by, expand access to safe and reliable child care and affordable health care, extend and expand unemployment insurance so American workers can pay their bills, and give families with children as well as childless workers a boost through enhanced tax credits.

• Support communities struggling with the economic fallout — The plan will provide crucial support for the hardest-hit small businesses, especially those owned by entrepreneurs from racial and ethnic backgrounds that have experienced systemic discrimination. The plan also provides crucial resources to protect the jobs of first responders, frontline public health workers, teachers, transit workers, and other essential workers that all Americans depend on. THE 2021 BUDGET RESOLUTION ENSURES QUICK ACTION ON THE AMERICAN RESCUE PLAN

Allows use of fast-track budget RECONCILIATION INSTRUCTIONS TO HOUSE COMMITTEES reconciliation process — The 2021 budget Deficit increase (2021-2030), billions of dollars resolution has a single purpose: it gives Congress the option of using a budget Committee Amount reconciliation measure to get crucial relief to Aqriculture 76 the American people as quickly as possible. Education & Labor 357 Reconciliation provides fast-track procedures Enerav & Commerce 788 that will allow the American Rescue Plan to Financial Services 75 pass with a simple majority in the Senate. Foreign Affairs 70 It does not preclude reaching a bipartisan Natural Resources 7 agreement on a relief package, but it does Oversiaht & Reform 357 ensure that Congress can move forward and Science, Space, & Technoloav 7 meet the country’s needs with or without Small Business 50 Republican cooperation. Without the Transportation & reconciliation directives in this resolution, the Infrastructure 96 bold action outlined by the President could Veterans' Affairs 77 languish indefinitely in the Senate, putting Wavs& Means 947 Subtotal 2,702 the health and well-being of millions of Remove overlap 274 American families at risk. Total 7,889

Empowers Congressional committees to shape the American Rescue Plan — The resolution's budget reconciliation framework sets a budgetary target of up to $1.9 trillion – the estimated cost of the American Rescue Plan – allocated across the 12 House committees that have jurisdiction over some portion of the plan. (See accompanying table for committee-specific targets.) The resolution instructs these

HOUSE BUDGET COMMITTEE, CHAIRMAN JOHN YARMUTH 2 HOUSE BUDGET COMMITTEE, CHAIRMAN JOHN YARMUTH 2 117th Congress

committees to report legislation consistent with these budgetary targets to the Budget Committee by February 16. The Budget Committee will combine the legislation – without substantive revision – and prepare it for floor consideration. In addition to these reconciliation instructions, the resolution includes other technical language necessary to carry out the terms of the resolution and reconciliation.

HOW THE 2021 BUDGET RESOLUTION DIFFERS FROM A TYPICAL FULL BUDGET RESOLUTION

The 2021 budget resolution is not a comprehensive fiscal blueprint for the next 10 years. It is designed solely to provide the option of using reconciliation to deliver critical relief and achieve the goals of the American Rescue Plan. As such, the total spending and revenue levels in the resolution simply reflect current-law projections adjusted for the estimated costs of the American Rescue Plan. Once the vital relief in the President’s plan becomes law, Congress will begin its work on a forward- looking, comprehensive budget resolution for 2022. That budget will provide urgently needed economic support and address longstanding deficits in our communities and underlying inequities in our society, which have been so starkly revealed and exacerbated by COVID-19. It will foster an inclusive recovery and make responsible investments to help us rebuild a stronger and fairer economy than what we had before.

This document has not been reviewed and approved by the Democratic Caucus of the Budget Committee and may not necessarily reflect the views of all members.

HOUSE BUDGET COMMITTEE, CHAIRMAN JOHN YARMUTH 3 HOUSE BUDGET COMMITTEE, CHAIRMAN JOHN YARMUTH 2 0 University Health System

BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS

Tuesday, February 23, 2021

Report on the 87th Texas Legislative Session

Background:

The 87th Texas Legislature convened on Tuesday, January 12, 2021, for its 140-day biennial regular session, and is scheduled to adjourn May 31, 2021. In those 140 days, lawmakers need to pass a balanced budget to govern state revenue collection and spending over the 2022-23 biennium, a congressional and legislative redistricting bill, and take care of any state agencies scheduled to “sunset” before the start of the next session. The issues facing the Legislature, such as grappling with projected shortfalls to the state budget and redrawing the state’s political maps, are expected to be particularly challenging since lawmakers will have to accomplish these tasks during a public health crisis.

Due to the pandemic, the format of the session is expected to very different than past sessions. Both chambers have adopted COVID-19 safety and engagement protocols for office processes, committee hearings and floor debates, and many offices are meeting only virtually with constituents and advocacy groups. Each chamber has limited the amount of time they have spent “in session” early on, in order to protect members and staff. It remains to be seen if the impact of these protocols will lessen the productivity or the passage of legislation.

State of the State:

Governor Abbott laid out his legislative priorities in his biennial State of the State speech on February 1st, however the governor was not in the traditional setting of a joint session of the legislature inside the Texas capitol. Instead, he delivered his remarks in a primetime televised and livestreamed address. Issues designated emergency items by the Governor may be voted on by the Legislature within the first 60 day of the session. One emergency item, expanding broadband internet access, is also a University Health priority. Another University Health priority is the permanent expansion of telemedicine, which has been done temporarily by BCHD Board of Managers - Report on the 87th Texas Legislative Session Tuesday, February 23, 2021 Page 2 of 5 executive order or waivers since the beginning of the pandemic. While, not identified as an emergency item, the Governor called on the legislature to take this action. Several bills expanding the use of telemedicine, and increasing payment parity for services delivered via telemedicine and to increase telehealth utilization, especially for audio-only delivery of telehealth for behavioral health services have been filed.

Budget Issues:

The Senate Finance Committee began this session’s debate on the next state budget in hearings held on Feb. 8th and 9th. Some of the key takeaways:

 Last session’s Wayfair legislation – collecting sales tax on online purchases – had managed to cut the state’s retail tax collection losses in half during the pandemic;  Federal COVID-related funding, current and expected, could be as high as $25 billion; the debate around how the state uses these funds will be: is the state using the funds to close its own budget gaps or to cover the actual costs of the COVID-19 pandemic?  The Senate rules do not allow virtual testimony/participation for the Finance committee, only the Redistricting committee is allowed to take virtual testimony. Some members of the Finance committee asked the Chair to reconsider a Senate resolution to allow virtual witnesses.

Medicaid expansion or healthcare coverage/access was mentioned during the hearing, but later in the week, in their markup for the latest COVID-19 relief and economic stimulus package, the U.S. House Energy and Commerce committee included a major incentive for non-expansion states to expand their Medicaid programs.

The provision would increase the state’s base Federal Medical Assistance Percentage (FMAP) by 5 percentage points for two years if they expand Medicaid within six months of the bill’s passage. The increase would be in addition to the 6.25% FMAP increase already in place for the Public Health Emergency. The Center on Budget and Policy Priorities estimates the financial gain to Texas for expanding Medicaid could be nearly $6 billion for the two years, the most of any non-expansion state. There are also several other provisions providing new or enhanced subsidies for health insurance coverage on the private market. BCHD Board of Managers - Report on the 87th Texas Legislative Session Tuesday, February 23, 2021 Page 3 of 5

Congress is expected to use a legislative process known as “reconciliation” (see attachment) to merge the Senate and House bills. This approach also allows Democrats to pass the final package without Republican support, and avoid a filibuster in the Senate. Their plan is to have legislation signed by the President before March 14.

Winter Storm Delays Legislature

Already dealing with slower operations because of the pandemic, the unprecedented winter weather across the state added to the delays at the Texas Legislature the week of Feb. 15th. Committee meetings of Appropriations and Finance were cancelled, floor proceedings still took place on Tuesday February 16th, but the House, lacking a quorum, adjourned until Friday February 19.

On Saturday, Feb. 13th, Gov. Abbott declared a state of disaster in all of Texas’ 254 counties. As the state’s electric grid becomes a focal point of the legislative session Gov. Abbott declared reforming the Electric Reliability Council of Texas (ERCOT) an emergency item. ERCOT doesn’t own the state’s electric providers or transmission lines; instead, its task is to coordinate the market and preserve the reliability of the grid.

Texas reached a new high peak demand – 69,222 MW – on Sunday February 14th between 7 p.m. and 8 p.m. Around 11 p.m., multiple generation units began tripping offline. And by 1:25 a.m., the state hit the point where demand outstripped supply. According to ERCOT, that’s called an EEA Level 3 – the third, and highest, level of emergency operations. At that point, ERCOT instructed electric providers to begin reducing their load on the system through rolling blackouts. Rolling blackouts are intended to keep supply and demand in balance.

Speaker of the House Dade Phelan called on House State Affairs and Energy Resources Committees to hold a joint hearing to review the electric system and statewide blackouts: “The extreme winter weather Texans experienced this week caused the lights to go off across the Lone Star State,” said Speaker Phelan. “I’m asking these two vital committees to convene a joint hearing on February 25th for the express purpose of helping Texans understand what went wrong and how we can prevent these conditions from happening again.” BCHD Board of Managers - Report on the 87th Texas Legislative Session Tuesday, February 23, 2021 Page 4 of 5

University Health Legislative Issues App – uhslegislative.com

Some of the priority issues for University Health, outlined on the legislative app, are receiving major attention as the session unfolds:

 Broadband connectivity – As mentioned, the governor has made this an emergency item. Also, Senator Robert Nichols (Jacksonville) and Representative Trent Ashby (Lufkin) have filed Senate Bill 506 and House Bill 1446. The two bills are identical versions of one another, and aim to expand access to critical broadband services by forming a state broadband office, creating a comprehensive state broadband plan, identifying which areas of the state have the greatest need, and funding projects to increase access and adoption in those areas.

 Medicaid Expansion – In recent weeks, this issue has received endorsement from State Rep. Lyle Larson of Bexar County, who on February 3rd authored an op-ed in the San Antonito Express News (attached). In addition, two major statewide groups have launched online sites to encourage the state to expand coverage to over a million Texans currently lacking healthcare coverage: Texas 2036, a nonprofit organization, recently published a Texas Coverage report and web-based coverage modeling, https://texas2036.org/health- coverage-explorer/capability tool to help identify coverage options. Texas 2036 concludes, “Texas could provide health insurance coverage to 1 million more Texans for under $2 per person per year because the federal government will send an additional $5.3 billion of our federal taxes back to Texas each year.” The Texas Hospital Association recently launched a new Health Care Coverage web page www.tha.org/coverage as part of its ongoing effort to increase the number of Texans with comprehensive health care coverage. The site serves as a hub for studies and reports on the successes other states have achieved when expanding Medicaid, news articles highlighting the need for Texas to insure more people, and includes a digital tool kit members may use on social media.

BCHD Board of Managers - Report on the 87th Texas Legislative Session Tuesday, February 23, 2021 Page 5 of 5

This item is presented for informational purposes only; no action is requested.

Andrew Smith Leni Kirkman Executive Director, Executive Vice President Government Relations & Public Policy Chief Marketing Communications & Corporate Affairs Officer

______George B. Hernández, Jr. President/Chief Executive Officer

Attachments:

Budget Resolution and Reconciliation Rep. Larson Medicaid Expansion Op-ed

~ University ¥ Health BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS

Tuesday, February 23, 2021

University Health Foundation Update

Infrastructure:

We had a successful “go-live” with Raiser’s Edge NXT. The team is currently working to transfer shadow database information into RE NXT to begin baseline usage and benchmarking. We continue to develop and streamline policies, processes and procedures for the foundation.

COVID-19 Response Efforts:

Through previous COVID-19 donations, we were able to provide 1,244 meals to staff at Wonderland of the Americas for UH team members administering the vaccine, and another 102 meals to team members at the hospital that were serving COVID-19 patients.

Women’s and Children’s Capital Campaign:

We are meeting with cabinet members this week for orientation and prospecting. Our first campaign milestone to reach is May 1, 2021, with 100% participation from the board of managers, foundation board of directors and University Health leadership.

Glass Donor Wall:

We have launched our glass donor wall initiative, inviting University Health staff, patients, friends and community to donate to our cause. With a donation of $25, your name will be amongst 20,000 on the glass artwork wall created by Priscila De Carvalho, Long Island City, New York. The glass wall will be placed at the entry to the new Women’s and Children’s Hospital. There is a story behind every name – add yours today. BCHD Board of Managers - University Health Foundation Update Tuesday, February 23, 2021 Page 2 of 2

This report is provided for information only. No action is required.

______Sara Alger President, University Health Foundation

______Leni Kirkman George B. Hernández, Jr. Executive Vice President/ President/Chief Executive Officer Chief Marketing, Communications & Corporate Affairs Officer University 0 Health

BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS Tuesday, February 23, 2021

4th Quarter 2020 - Supplier Diversity Report

Program Update

The Supplier Diversity program continues to implement procurement considerations in the 4th Quarter 2020 that provide additional opportunities to engage SMWVBE suppliers. The COVID-19 pandemic has disrupted existing channels of vendor engagement but the Supplier Diversity team has pursued alternative initiatives to further University Health’s relationship with SMWVBE vendors and establish new opportunities for community partnerships.

The following summary highlights initiatives to engage the local diverse business community on behalf of University Health during the 4th Quarter 2020.

 Supplier Diversity, Procurement team and the Southwest Texas Regional Certification Agency efforts for the 4th quarter include: o Registered 412 local and SMWVBE vendors to do business with University Health and more importantly receive bid opportunities from Procurement o South Texas Regional Certification Agency renewed 225 SMWVBE certifications and certified 145 new SMWVBE vendors o Achieved a 21% increase in SMWVBE bid opportunities for the 4th quarter when compared to the 3rd quarter of 2020.  The growth of Supplier Diversity outreach programs supported additional opportunities for University Health to procure PPE from the local, diverse vendor community. This quarter local and SMWVBE companies (Medwheels, Medical Wholesale, Lighthouse for the Blind, J2 Medical and Custom Classic Medical) were instrumental in supporting care delivery with PPE products for University Health. BCHD Board of Managers - 4th Quarter 2020 - Supplier Diversity Report Tuesday, Feb 23, 2021 Page 2 of 8

 Embedded Contract Specialist in the Facilities Management department has improved the requisition to procurement process and increased opportunities to expand relationships with SMWVBE businesses.  University Health continues to host virtual walk-throughs for the facilities management and construction projects. The resulting efficiencies for vendors has resulted in this remaining a long-term opportunity to improve vendor engagement and maintain accuracy of the project scope. Continued enhancement of vendor engagement tools and processes will result in more local, diverse vendors wanting to participate and improving our relationship with targeted vendor communities.

Total Payments

An analysis of University Health’s payments for the 4th Quarter 2020 provides an objective measure of our commitment in supporting the SMWVBE community. Supplier Diversity staff monitor three major categories of payments to illustrate the positive financial impact for our community: Certified SMWVBE vendors, Local non-SMWVBE vendors, and Not for Profit entities. University Health’s positive financial impact in each of these categories continues to demonstrate successful partnerships to improve engagement with the local, diverse vendor community.

The total University Health payments to all vendors in the 4th Quarter 2020, amounted to $216.6 million. Detailed payment breakdown by vendor category follows in the sections below.

Certified SMWVBE Payments

Supplier Diversity reports only certified SMWVBE vendor payments where certification status can be validated by tax identification number. Certification listings are derived from the local Unified Certification provider SCTRCA and State DOT Unified Certification Program (UCP) providers. This includes listings for certified vendors from Texas and any other entity outside Texas who certifies the accuracy of SMWVBE reporting. One of Supplier Diversity’s key roles is to engage with minority vendors who are eligible for certification pursue that certification in one of the SMWVBE categories. The resulting certification improves the vendor’s future business opportunities and ongoing partnership BCHD Board of Managers - 4th Quarter 2020 - Supplier Diversity Report Tuesday, Feb 23, 2021 Page 3 of 8

with University Health.

Using this detailed methodology, University Health paid $6.7 million to certified SMWVBE vendors in the 4th Quarter 2020. This results in SMWVBE vendors receiving 3.1% of the total $216.6 million 4th Quarter payments, which is a 2% increase over 3rd Quarter 2020. Efforts to enhance engagement with SMWVBE vendors has been successful and the Procurement team expects further improvement once a new Supplier Diverity leader is hired to manage the program. Payments to certified SMWVBE vendors in the full year of 2020 were $27.7 million, or 3.3% of the total payments of $846.6 million.

Local Non-SMWVBE

Supplier Diversity also monitors financial impact to local, non-SMWVBE vendors as a targeted approach to enhance our community. University Health payments to this business segment were $28.7 million in the 4th Quarter 2020. The local, non-SMWVBE payments in the 4th Quarter results in these vendors receiving 13.3% of the total $216.6 million 4th Quarter payments. Continued engagement with this vendor category has been markedly successful and for 2020 payments were $253.3 million or 30% of total payments.

Community Not for Profit

The third targeted vendor category monitored by the Supplier Diversity team is Community Not for Profits. This vendor category provides a significant opportunity for University Health to enhance the local community and to partner with organizations making a positive impact on the underserved population. The 4th Quarter 2020 payments to Not for Profit organizations was $16.3 million, 7.5% of the total 4th Quarter payments. Year-to-date payments to Community Not for Profit organizations were $194 million or 23% of total payments. Payments made to UT Health for $197 million are included in this total.

Payment Summary

Additional detail of payments to vendors through the end of 4th Quarter 2020 are shown below. Payments are summarized by vendor type to include Construction & Capital, Services, Supplies, and a Combined total that includes all vendor types. Payments by SMWVBE category are detailed by each vendor type and BCHD Board of Managers - 4th Quarter 2020 - Supplier Diversity Report Tuesday, Feb 23, 2021 Page 4 of 8

illustrate the mix of SMWVBE payments as a percentage of the total payments in the most recent quarter and a year-to-date analysis.

This report is being presented for informational purposes only. No action is required by the Board of Managers.

______Antonio Carrillo Reed Hurley Executive Director Executive Vice President Procurement Services Chief Financial Officer

______George B. Hernández, Jr. President/Chief Executive Officer BCHD Board of Managers - 4th Quarter 2020 - Supplier Diversity Report Tuesday, Feb 23, 2021 Page 5 of 8

SMWVBE 4th Quarter 2020 Payments - Category Combined

4th Quarter 2020

Total Utlization $ 216,632,819 SMWVBE PAYMENTS: TOTAL

Certified Vendor Opportunity (%) Payment ($)

AFRICAN AMERICAN $ 1,986 0.0% ASIAN $ - 0.0% HISPANIC $ 1,970,106 0.9% NATIVE AMERICAN $ - 0.0% SMALL $ 1,744,863 0.8% VETERAN $ 509,800 0.2% WOMAN $ 2,152,136 1.0% Other Minority $ 347,396 0.2% Total* $ 6,726,287 3.1%

Local Non SMWVBE 4th Quarter 2020 Payment ($) $28,748,943 13.3%

COMMUNITY NOT FOR PROFIT 4th Quarter 2020 Payment ($) $16,327,378 7.5% Complete 4th Quarter YTD Summary

Total Utlization YTD $ 846,597,816 SMWVBE PAYMENTS: TOTAL Certified Vendor Payment ($) Opportunity (%)

AFRICAN AMERICAN $ 29,204 0.0% ASIAN 0.0% HISPANIC $ 5,863,873 0.7% NATIVE AMERICAN $ 25,032 0.0% SMALL $ 9,423,936 1.1% VETERAN $ 2,081,433 0.2% WOMAN $ 6,266,830 0.7% Other Minority $ 4,062,218 0.5% Total* $ 27,752,526 3.3%

Local Non SMWVBE Complete Quarterly YTD Payment ($) $253,361,689 29.9%

COMMUNITY NOT FOR PROFIT Complete Quarterly YTD Payment ($) $194,046,495 22.9% * Totals do not include verified payments to 2nd tier vendors valued at $264K for December and $1.9M YTD Regular Bi-Monthly Meeting of the Bexar County Hospital District Board of Managers 4th Quarter 2020 - Supplier Diversity Report Tuesday, Feb 23, 2021 Page 6 of 8

SMWVBE 4th Quarter 2020 Payments - Category

Construction & Capital 4th Quarter 2020

Total Utilization $ 32,745,833 SMWVBE PAYMENTS: TOTAL

Certified Vendor Opportunity (%) Payment ($)

AFRICAN AMERICAN $ - 0.0% ASIAN $ - 0.0% HISPANIC $ 349,339 1.1% NATIVE AMERICAN $ - 0.0% SMALL $ 196,380 0.6% VETERAN $ - 0.0% WOMAN $ 161,807 0.5% Other Minority $ - 0.0% Total* $ 707,525 2.2%

Complete 4th Quarter YTD Summary

Total Utilization $ 32,745,833 SMWVBE PAYMENTS: TOTAL

Certified Vendor Opportunity (%) Payment ($)

AFRICAN AMERICAN $ - 0.0% ASIAN $ - 0.0% HISPANIC $ 349,339 1.1% NATIVE AMERICAN $ - 0.0% SMALL $ 231,410 0.7% VETERAN $ - 0.0% WOMAN $ 161,807 0.5% Other Minority $ - 0.0% Total* $ 742,555 2.3%

* Totals do not include verified payments to 2nd tier vendors valued at $264K for December and $1.9M YTD BCHD Board of Managers - 4th Quarter 2020 - Supplier Diversity Report Tuesday, Feb 23, 2021 Page 7 of 8

SMWVBE 4th Quarter 2020 Payments - Category

Services 4th Quarter 2020

Total Utilization $ 42,179,319 SMWVBE PAYMENTS: TOTAL

Certified Vendor Opportunity (%) Payment ($)

AFRICAN AMERICAN $ - 0.0% ASIAN $ - 0.0% HISPANIC $ 481,473 1.1% NATIVE AMERICAN $ - 0.0% SMALL $ 191,644 0.5% VETERAN $ - 0.0% WOMAN $ 1,297,427 3.1% Other Minority $ - 0.0% Total* $ 1,970,543 4.7%

4th Quarter 2020

Total Utilization $ 42,179,319 SMWVBE PAYMENTS: TOTAL

Certified Vendor Opportunity (%) Payment ($)

AFRICAN AMERICAN $ - 0.0% ASIAN $ - 0.0% HISPANIC $ 481,473 1.1% NATIVE AMERICAN $ - 0.0% SMALL $ 191,644 0.5% VETERAN $ - 0.0% WOMAN $ 1,302,485 3.1% Other Minority $ - 0.0% Total* $ 1,975,601 4.7%

* Totals do not include verified payments to 2nd tier vendors valued at $264K for December and $1.9M YTD BCHD Board of Managers - 4th Quarter 2020 - Supplier Diversity Report Tuesday, Feb 23, 2021 Page 8 of 8

SMWVBE 4th Quarter 2020 Payments - Category

Supplies 4th Quarter 2020

Total Utilization $ 141,707,668 SMWVBE PAYMENTS: TOTAL

Certified Vendor Opportunity (%) Payment ($)

AFRICAN AMERICAN $ - 0.0% ASIAN $ - 0.0% HISPANIC $ 1,139,065 0.8% NATIVE AMERICAN $ - 0.0% SMALL $ 1,208,357 0.9% VETERAN $ - 0.0% WOMAN $ 685,940 0.5% Other Minority $ 244,099 0.2% Total* $ 3,277,461 2.3%

4th Quarter 2020

Total Utilization $ 141,707,668 SMWVBE PAYMENTS: TOTAL

Certified Vendor Opportunity (%) Payment ($)

AFRICAN AMERICAN $ 1,986 0.0% ASIAN $ - 0.0% HISPANIC $ 1,139,295 0.8% NATIVE AMERICAN $ - 0.0% SMALL $ 1,321,809 0.93% VETERAN $ 509,800 0.4% WOMAN $ 687,845 0.5% Other Minority $ 347,396 0.2% Total* $ 4,008,130 2.8%

* Totals do not include verified payments to 2nd tier vendors valued at $264K for December and $1.9M YTD A University ¥ Health BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS

Tuesday, February 23, 2021

Report on Recent Recognitions and Upcoming Events

Recognition

 Bexar County Hospital District Board of Managers Member Anita Fernandez has been named one of the San Antonio Business Journal’s 2021 40 Under 40 awards recipients. This annual recognition celebrates young, rising business and community leaders. The 40 Under 40 Awards event will be held virtually on Thursday, March 25.  University Health has earned Chest Pain with PCI accreditation from the American College of Cardiology, demonstrating our team’s commitment to reducing cardiovascular disease morbidity and mortality. The reviewers noted the strong support of senior leadership and physicians, the success of an initiative to decrease the use of EDOU for low risk patients and improved documentation that resulted in an estimated cost savings of more than $400,000. They were also impressed with the updates made in the protocols to manage STEMI patients related to the COVID-19 pandemic.  The University Hospital Emergency Department’s abstract, An Academic Emergency Department’s Response to the Pandemic – Lessons Learned, has been accepted by the National Academies of Practice (NAP) for an oral/platform presentation at the 2021 NAP Virtual Annual Meeting and Forum March 18 – 20.  University Health has been named a finalist in the Ragan Employee Communications Awards. This national recognition is for the successful launch of our new Employee InfoNET during the pandemic. Winners will be announced in late March.

Media Highlights – January 2021

Major topics: COVID-19 vaccine efforts (many, many stories related to staff vaccinations, the opening of the Wonderland of the Americas vaccination site, BCHD Board of Managers - Report on Recent Recognition and Upcoming Events Tuesday, February 23, 2021 Page 2 of 2

vaccinating teachers, equity in distribution efforts, vaccine side effects, de-bunking rumors), Concerns about people avoiding the ER due to COVID fears, COVID-19 variants, COVID fatigue, University Health staff have new sense of optimism, Community First Health Plans commissions South Side Pride mural., Editorial board praises University Health for earmarking additional funds to mental health services/psychiatric crisis care, Surge in COVID-19 patients, New treatments for COIVD-19, monoclonal antibodies to fight COVID-19, Pediatric burn program, CFHP design a mask competition, long-term effects of COVID-19, COVID-19 crisis plan, Better treatments for COVID-19 patients, University Health ends year in a positive financial position, tips for combating anxiety and stress

January news coverage metrics are not yet available and will be reported in February.

Upcoming Sponsorships/Community Events

University Health System is proud to support our community and important causes by sponsoring the following virtual nonprofit events:

 San Antonio Chamber of Commerce Virtual Viva Legislative Summit, March 2 -4.  YWCA San Antonio Women of Influence Virtual event on March 25

This report is submitted for informational purposes only.

______Leni Kirkman George B. Hernández, Jr. Executive Vice President/ President/Chief Executive Officer Chief Marketing, Communications & Corporate Affairs Officer ~ University ~ Health BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS

Tuesday, February 23, 2021

Update on the Women’s and Children’s Hospital and Associated Projects

Background:

The architectural and engineering (A/E) team of Marmon Mok Architecture, L.L.P. (a.k.a. Marmon Mok/ZGF) was selected by University Health for the design and planning services for the Women’s and Children’s Hospital and Associated Projects (the Project). The A/E team was authorized and engaged in March 2018 to provide the first phase (Phase I) of design and planning services for the Project. Phase I included master planning, program validation, scope alignment, site investigations, and budget development. In July 2018, the A/E team commenced full architectural and engineering design services for the Project.

The Project’s initial design phase is complete and the final Construction Documents (CDs) for the Garage and the Women’s and Children’s Hospital have been permitted, including floors 8-11 that accommodate the inpatient programs identified in the Blue Cottage Clinical Space Program and both 12th floor Core and Shell and Podium Expansion Core and Shell spaces. In June 2020, the Board authorized additional design funding to add design scope including the build out of floor 12 for an additional thirty (30) private inpatient rooms, and the Kitchen, Servery, Dining Room, and Conference Rooms in the Podium expansion. These design packages are expected in late spring and early fall 2021.

The Construction Manager (Joeris + JE Dunn, a Joint Venture) commenced work on site in June 2019 for the Advanced Diagnostic Center (formerly the Heart/Vascular & Endoscopy Center) and started other enabling projects in August 2019. Work on the Women’s and Children’s Hospital and the new garage commenced in early 2020. The Underground Utility Reroute, and North Garage Demolition projects are complete, and the Advanced Diagnostic Center was completed in December 2020 and is fully operational. The hospital and garage are projected to be complete in mid-2023. BCHD Board of Managers - Update on the Women’s and Children’s Hospital and Associated Projects Tuesday, February 23, 2021 Page 2 of 5

Analysis:

Construction of the Advanced Diagnostic Center is complete and the last patient care space was fully activated in January 2021. Work on the Women’s and Children’s Hospital continues with slab-on-grade concrete placement near completion, and concrete columns and elevated decks underway. “Vertical construction” began in January 2021.

The Construction Manager is refining construction cost estimates for remaining portions of the work that have not yet been added to their contract. This updated projection will constitute the cost basis for the final Guaranteed Maximum Price package (GMP #13) associated with the permitted construction drawings. GMP #13 is projected to be presented in March 2021 and will include interior finishes, specialty construction, interior glazing, landscaping and final sitework, signage, traffic and pavement markings, and miscellaneous support work.

The A/E team continues with preliminary design planning for the additional patient rooms on the 12th floor, and the future support services (kitchen, servery, dining, etc.) that will be built-out in the Podium expansion. This planning includes coordination with the Construction Manager’s schedule to ensure continuity of efficient construction progress. Ensuring that the design deliverables are available before permanent construction of lower level structural and utility elements will preserve the ability for University Health to incorporate this potential additional scope at best cost and without undue impact to the overall completion schedule.

In November 2020, the Board approved an increase to Project funding of $86 million for soft costs including medical equipment (MEQ), active IT, and fixtures, furnishings, and equipment (FFE). This amount included $5.63 million for the BioMed Buildout Associated Project. The current approved Project budget, therefore, is $777.6 million and is summarized in Attachment “A”.

Progress update: a) Advanced Diagnostic Center (formerly Heart/Vascular & Endoscopy Center)  ADC is occupied and fully operational as of January 25, 2021.  This will be the final progress report for the ADC. BCHD Board of Managers - Update on the Women’s and Children’s Hospital and Associated Projects Tuesday, February 23, 2021 Page 3 of 5 b) Women’s & Children’s Hospital  Completed work includes drilled piers, utility tie-ins to the existing plant, underground utility work, elevator pit, pier cap placement and basement floor and columns.  Concrete is being placed for ground floor and columns in preparation for upper-level floors.  CPS Energy (electrical supply) transformers infrastructure is being installed. Duct bank work across Merton Minter has been completed.  Building envelope (curtain walls, windows, metal panels, etc.) mock- up construction is complete; lab testing is scheduled in late February 2021. c) Garage  Installation of underground utilities, additional under slab drainage features to collect and remove excess groundwater, and pier caps are complete.  Structural concrete columns and grade preparations for slab on grade and upper-level concrete pours are in progress.  Slab on grade concrete pours began in December 2020 and continue into February 2021. d) Podium Expansion  Focused user group meetings to inform Schematic Design (SD) of the Phase 1 Buildout (Kitchen, Servery, Conference Rooms) were conducted in November and December 2020. The completed SD issue was published on February 5, 2021.  Discussions regarding University Health vision for franchise/branded food service concepts in the Servery are ongoing with close coordination between the A/E team and hospital procurement staff.  Design Development has commenced with final issue expected in early May 2021 followed by Construction Documents in September 2021. BCHD Board of Managers - Update on the Women’s and Children’s Hospital and Associated Projects Tuesday, February 23, 2021 Page 4 of 5

BioMed Buildout  Construction kick off meeting (Structure only) held on January 15, 2021.  Construction Manager mobilized week of February 8, 2021 with ICRA barriers placed and interior demolition underway.  Elevated concrete slab construction to commence late February 2021. Community Outreach / SMWVBE:

The Outreach tracking information noted below for the Construction Manager at Risk is current as of early January 2021 and reflects trade partners required by the scope of the Project through GMP 11.

African Other SMWVBE Small Hispanic Woman Veteran Local American Minority Total 10.48% 3.93% 5.69% 0.02% 7.13% 4.73% 31.98% 82.36%

This report is presented for information only. No action is required by the Board of Managers.

______Don Ryden Edward Banos Vice President Executive Vice President/ Planning Design and Construction Chief Operating Officer

______George B. Hernández, Jr. President/Chief Executive Officer BCHD Board of Managers - Update on the Women’s and Children’s Hospital and Associated Projects Tuesday, February 23, 2021 Page 5 of 5

WOMEN'S AND CHILDREN'S HOSPITAL & ASSOCIATED PROJECTS BOARD APPROVED PROJECT BUDGET SUMMARY (in millions) February 23, 2021

Current Projected Approved Funding Budget Funded Request ADVANCED DIAGNOSTIC CENTER Construction (Shell & Finish-Out) $ 20.2 Yes A/E Fees $ 1.9 Yes Other Fees/Permit/Contingency/Misc $ 1.1 Yes FFE/IT $ 2.2 Yes Medical Equipment $ 31.5 Yes Sub Total Advanced Diagnostic Center $ 56.9

WOMEN'S & CHILDREN'S HOSPITAL Construction (Shell & Finish-Out) $ 396.0 Yes A/E Fees $ 37.3 Yes Other Fees/Permit/Contingency/Misc $ 43.5 Yes FFE/IT $ 54.5 Yes Medical Equipment $ 56.9 Yes Subtotal Women's and Children's Hospital $ 588.3

PARKING STRUCTURE Construction $ 44.5 Yes A/E Fees $ 1.9 Yes Other Fees/Permit/Contingency/Misc $ 2.7 Yes FFE/IT $ 2.1 Yes Sub Total Parking Structure $ 51.2

PODIUM EXPANSION - Core/Shell Construction (Shell) $ 40.2 Yes A/E Fees $ 8.6 Yes Other Fees/Permit/Contingency/Misc $ 3.2 Yes FFE/IT $ 0.6 Yes Kitchen, Dining, Conference (Finish Out Equipment) $ 50.2 No 4th Qtr 2021 Sub Total Podium Expansion $ 102.8

BOARD CONTINGENCY $ 23.0 Yes

BioMed $ 5.6 Yes TOTAL FUNDED $ 777.6 TOTAL UNFUNDED + FUNDED $ 827.9